Individual
SHYRLEY DIEGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2211
Mailing address
110 COLUMBUS BLVD, AMITYVILLE, NY 11701-1325
(631) 608-3600
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
F304965-1
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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