Individual
MR. MAURICIO DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN, CDN
Contact information
Practice address
3400 BAINBRIDGE AVE FL 2, BRONX, NY 10467-2404
(866) 633-8255
Mailing address
20915 18TH AVE APT 4H, BAYSIDE, NY 11360-1407
(347) 417-2424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009038
NY
Other
Enumeration date
08/30/2017
Last updated
03/17/2018
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