Individual
CHIDINMA CHISOM DURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
198 E 121ST ST FL 5, NEW YORK, NY 10035-3523
(917) 474-2968
(347) 222-3024
Mailing address
198 E 121ST ST FL 5, NEW YORK, NY 10035-3523
(917) 474-2968
(347) 222-3024
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
26NR22638700
NJ
163WP0808X
Psychiatric/Mental Health Registered Nurse
738786-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406328-01
NY
Other
Enumeration date
09/12/2024
Last updated
04/18/2025
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