Individual
LUIS A PROANO-DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17325 JAMAICA AVE, JAMAICA, NY 11432-5523
(718) 657-4000
Mailing address
17325 JAMAICA AVE, JAMAICA, NY 11432-5523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
189815-1
NY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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