# MARY G DIANA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962445684
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 200058 | NY | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 56749 | CT | — |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 09/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01659383 | — | NY |
| 01 | — | 0667910001 | DME | NY |
| 01 | — | P00413156 | MEDICARE RAILROAD | NY |