Individual
DIANE L HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2323
Mailing address
62 CAMERON ST, BROOKLINE, MA 02445-7635
(704) 609-4083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
917224
NY
Other
Enumeration date
07/24/2012
Last updated
05/01/2024
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