Individual
MS. DIANE GRASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
285 E MAIN ST, SMITHTOWN, NY 11787-2978
(631) 656-0874
Mailing address
7 WENDY LN, MASSAPEQUA PARK, NY 11762-3733
(516) 797-6670
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308295-1
NY
363LG0600X
Gerontology Nurse Practitioner
F308295-1
NY
Other
Enumeration date
03/29/2018
Last updated
01/07/2019
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