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Individual
MARY G DIANA
Active
Individual
MARY G DIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200058
NY
207V00000X
Obstetrics & Gynecology Physician
56749
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659383
—
NY
01
—
0667910001
DME
NY
01
—
P00413156
MEDICARE RAILROAD
NY
Enumeration date
06/13/2006
Last updated
09/25/2026
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