Georgia Angela Duan, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026248 Issued in NY

Practice address

778 Forest Ave
P17X C/O Main Office
Bronx, NY 10456-7803

Phone

(415) 868-5423

NPI assigned

Oct 26, 2016

Last updated

Jan 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1639621535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 REVEREND JAMES A. POLITE AVENUE",
            "address_2": "PS 333 C/O GEORGIA DUAN",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594107",
            "telephone_number": "718-860-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 FOREST AVE",
            "address_2": "P17X C/O MAIN OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104567803",
            "telephone_number": "415-868-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUAN",
        "first_name": "GEORGIA",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04578869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula Dua-Kyei
• Aviva B Dua, LP-MHC
• Dolly Dua, DPM
• Beatrice Duah-Taylor
• Perpetual O Duah
• Yule Duan, DDS
• Duane Reade (Duane Reade # 14384)
• Duane Reade (Duane Reade #14150)
• Duane Reade (Duane Reade #14288)
• Duane Reade (Duane Reade #14459)

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.