Individual
ANNE R DUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 CLOVE RD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3784
Mailing address
2791 RICHMOND AVE, SUITE 201, STATEN ISLAND, NY 10314-5859
(718) 816-6440
(718) 816-3611
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
149509
NY
208000000X
Pediatrics Physician
149509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01841872
—
NY
Enumeration date
09/26/2006
Last updated
09/04/2013
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