Individual
NIKESHA A DUPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
8268 164TH ST, QUEENS, NY 11432
(718) 883-3861
Mailing address
8268 164TH ST, QUEENS, NY 11432-1121
(718) 883-3861
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30307877
NY
Other
Enumeration date
10/06/2016
Last updated
08/14/2018
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