Individual
NKEIRUKA DURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 MATILDA AVE FL 1, BRONX, NY 10470-1507
(347) 967-0419
Mailing address
4620 MATILDA AVE, BRONX, NY 10470-1507
(347) 967-0419
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1707905231
NY
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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