Individual
MR. DAVID JASON DIINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4692
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4692
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306081
NY
Other
Enumeration date
06/26/2012
Last updated
11/01/2012
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