Individual
MICHAEL DIOQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12623 145TH ST, JAMAICA, NY 11436-1818
(718) 300-9661
Mailing address
12623 145TH ST, JAMAICA, NY 11436-1818
(718) 300-9661
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403538-01
NY
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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