Individual
DIANA KRASNOPOLSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4223 FRANCIS LEWIS BLVD, SUITE 105, BAYSIDE, NY 11361-2580
(718) 225-5106
(718) 225-0816
Mailing address
4223 FRANCIS LEWIS BLVD, SUITE 105, BAYSIDE, NY 11361-2580
(718) 225-5106
(718) 225-0816
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F303634
LICENSE
NY
Enumeration date
06/06/2007
Last updated
03/07/2023
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