Individual
NIAMH DURCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 RIVIERA DR W, MASSAPEQUA, NY 11758-8523
(631) 317-8088
Mailing address
275 EDSALL TER, PEARL RIVER, NY 10965-2809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1195163
NY
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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