Individual
MS. JOANNE DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC,LMT,LPN
Contact information
Practice address
320 DECATUR AVENUE, EAST YAPHANK, NY 11967
(631) 433-6826
Mailing address
320 DECATUR AVE, EAST YAPHANK, NY 11967-1615
(631) 295-7993
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
263687-1
NY
171100000X
Acupuncturist
Primary
006635-01
NY
172M00000X
Mechanotherapist
023381-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521
—
NY
Enumeration date
10/26/2016
Last updated
06/05/2023
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