Individual
DR. THERESA DURCHHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7901 4TH AVE, BROOKLYN, NY 11209-3972
(718) 491-5800
Mailing address
998 THIRD AVE, FRANKLIN SQUARE, NY 11010-1846
(516) 640-1336
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
290730
NY
Other
Enumeration date
03/08/2016
Last updated
06/28/2021
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