Individual
SHIRLEY DURENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
681 CLARKSON AVE, BROOKLYN, NY 11203-2125
(718) 221-7499
Mailing address
1754 TROY AVE, BROOKLYN, NY 11234-2030
(917) 862-3078
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
739994
NY
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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