DURU-TANKSLEY CHIMA VICTORIA - NPI: 1205478096


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1205478096
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: VICTORIA
Provider Last Name: DURU-TANKSLEY
Provider Middle Name: CHIMA
Provider Gender Code: F
Provider Credential Text: RN
Provider Enumeration Date: 10/13/2019
Last Update Date: 10/13/2019

Business Address:

Provider First Line Business Mailing Address: 2936 GRACE AVE # APPT2
Provider Business Mailing Address City Name: BRONX
Provider Business Mailing Address State Name: NY
Provider Business Mailing Address Postal Code: 10469
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 6464008779

Mailing Address:

Provider First Line Business Practice Location Address: 1500 WATERS PL
Provider Business Practice Location Address City Name: BRONX
Provider Business Practice Location Address State Name: NY
Provider Business Practice Location Address Postal Code: 10461
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 7189310600

Primary Taxonomy:

Taxonomy Code: 163W00000X
License Number: 556032
License State: NY
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Nursing Service Providers
Classification: Registered Nurse
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling
Taxonomy Description: a registered nurse may receive either a diploma from a hospital program
Source: The National Provider Identifier

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