Individual
DIANE YACIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
301 N WASHINGTON ST STE 2300, HERKIMER, NY 13350-1299
(315) 867-1176
(315) 867-1612
Mailing address
301 N WASHINGTON ST STE 2300, HERKIMER, NY 13350-1299
(315) 867-1176
(315) 867-1612
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
481275
NY
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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