Provider Demographics
NPI:1396956736
Name:DURAN, BELKIS E (DDS)
Entity type:Individual
Prefix:
First Name:BELKIS
Middle Name:E
Last Name:DURAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 W 236TH ST APT 4A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1764
Mailing Address - Country:US
Mailing Address - Phone:718-825-9216
Mailing Address - Fax:914-623-7017
Practice Address - Street 1:510 S BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-3253
Practice Address - Country:US
Practice Address - Phone:914-623-7018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053352-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice