Basic Information
Provider Information
NPI: 1235767989
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNCAN
FirstName: EMILY
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 311 E MOUNTAIN RD S
Address2:  
City: COLD SPRING
State: NY
PostalCode: 105163815
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 600 WESTAGE BUSINESS CTR DR
Address2:  
City: FISHKILL
State: NY
PostalCode: 125242281
CountryCode: US
TelephoneNumber: 8452787000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/30/2020
LastUpdateDate: 03/30/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/30/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X345631NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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