DARDA DETERVILLE


Address: 6744 190 Lane, Flushing, NY 11365-0000
Phone: 7184542818

DARDA DETERVILLE (NPI# 1417269416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417269416
Entity Type Individual
Full Name DARDA DETERVILLE
Practice Address 6744 190 Lane
Flushing
NY 11365-0000
Practice Telephone 7184542818
Mailing Telephone 7184542818
Enumeration Date 2010-07-07
Last Update Date 2010-07-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
4298041 NY Nursing Service Providers

Office Location

Street Address 6744 190 LANE
City FLUSHING
State NY
Zip Code 11365-0000

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1659939304 Bracha Kosoff Occupational Therapist 71-64 168th St., Flushing, NY 11365 2019-05-29
1295290419 Kate Okeke Licensed Practical Nurse 188 04 64th Avenue, Fresh Meadow, NY 11365 2019-02-01
1669951497 Jihee Woo Registered Nurse 189-04 6f Fresh Meadows, Queeens, NY 11365 2018-08-13
1710465125 In Hye Choi Acupuncturist 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 2018-07-30
1497231112 Shamain C Persaud Case Manager/Care Coordinator 67-28 188th Street, Fresh Meadows, NY 11365 2018-07-16
1598280489 Gabriella Pamela Koyenova Physician Assistant 69-24 181st Street, Fresh Meadows, NY 11365 2017-08-11
1750802781 Nicola Coley Behavioral Analyst 6747 161st Street, 1k, Flushing, NY 11365 2017-06-29
1811427941 Jong M Lee Acupuncturist 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 2017-06-12
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912547159 Kyle Trent Registered Nurse 4173 Duffield Rd, Flushing, MI 48433-1796 2020-01-15
1316452808 Natasha Ria Arrigo Registered Nurse 3314 159th St, Flushing, NY 11358-1343 2017-12-06
1275055402 Alexandra Sara Miller Registered Nurse 43-43 166th Street, Flushing, NY 11358 2017-07-10
1295151918 Abo Khaimov Registered Nurse 70-35 150th Street, Flushing, NY 11367 2014-03-06
1013332121 Yana Kariyeva Registered Nurse 15022 Melbourne Ave Apt 374a, Flushing, NY 11367-1439 2014-02-26
1487928487 Linda Ann Carter Registered Nurse 14911 Melbourne Ave, Flushing, NY 11367-1306 2012-03-08
1235684929 Farrah Gibbs Registered Nurse 3474 113th St, Flushing, NY 11368-1455 2016-08-23
1902148901 David Mera Registered Nurse 7502 162nd St, Flushing, NY 11366-1135 2013-03-18
1477829976 Delsie Lorraine Mcgregor Registered Nurse 7502 162nd St, Room # 351, Flushing, NY 11366-1135 2012-03-29
1023383973 Rosie Francois Registered Nurse 14820 Reeves Ave, Room 125, Flushing, NY 11367-1269 2012-03-11
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Competitor

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City FLUSHING
Zip Code 11365

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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