Most Relevant Information
Provider Data
| NPI Number: | 1003181512 |
| Provider Name: | RAYMONDE DESIRE DURANDISE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 649997 |
Most Important Dates
| Enumeration Date: | 03/16/2012 |
| Last Updated: | 03/16/2012 |
Provider Practice Location
22121 JAMAICA AVE
QUEENS VILLAGE
NY
114282015
Practice Location Phone/Fax
| Phone: | 7184686923 |
| Fax: |
Provider Mailing Location
22121 JAMAICA AVE
QUEENS VILLAGE
NY
114282015
Provider Mailing Phone/Fax
| Phone: | 7184686923 |
| Fax: |