Individual
KEVENS DULIEPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
110 MAIN ST, MINEOLA, NY 11501-4000
(516) 747-5644
Mailing address
198 HEATHCOTE RD # PVT, ELMONT, NY 11003-2006
(718) 807-8559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
730345
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405077
NY
Other
Enumeration date
05/29/2017
Last updated
09/09/2023
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