# DIANA J PAGE NP IN PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194169029
- **Authorized official:** DIANA PAGE NPP (NURSE PRACTITIONER IN PSYCHIATRY)
- **Authorized official phone:** (585) 409-1589

## Contact information

- **Practice address:** 11 BATAVIA CITY CTR, BATAVIA, NY 14020-2107
- **Practice address phone:** (585) 344-4246
- **Mailing address:** 29 MANHATTAN AVE, BATAVIA, NY 14020-2409
- **Mailing address phone:** (585) 409-1589
- **Mailing address fax:** (585) 343-4769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 401204 | NY | Yes |

## Other

- **Enumeration date:** 04/22/2013
- **Last updated:** 04/22/2013