Individual
DR. DIANE DENISE ANNUNZIATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
63 WILNER RD, SOMERS, NY 10589-3001
(914) 954-9794
Mailing address
63 WILNER RD, SOMERS, NY 10589-3001
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016425
NY
Other
Enumeration date
02/05/2007
Last updated
09/03/2011
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