Individual
DIANE LOUBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
944 E 233RD ST, BRONX, NY 10466-3218
(845) 826-1524
Mailing address
1160 E 73RD ST FL 1, BROOKLYN, NY 11234-5410
(845) 826-1524
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
340450
NY
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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