Provider Demographics
NPI:1447083480
Name:DULNUAN, TRISHA
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:DULNUAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 BUCHANAN AVE
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-3332
Mailing Address - Country:US
Mailing Address - Phone:631-402-4578
Mailing Address - Fax:
Practice Address - Street 1:39 BUCHANAN AVE
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-3332
Practice Address - Country:US
Practice Address - Phone:631-402-4578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY952506163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health