Individual
MRS. DIANA EILEEN MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1597 LAUREL HOLLOW ROAD, SYOSSET, NY 11791
(516) 692-7950
Mailing address
2 DARTMOUTH COURT, EAST NORTHPORT, NY 11731
(631) 754-0289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
553612-1
NY
163WS0200X
School Registered Nurse
Primary
553612-1
NY
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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