Individual
MRS. DIANE LISA SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10201 66TH RD, PST, FOREST HILLS, NY 11375
(718) 830-4316
(718) 830-1158
Mailing address
385 S 4TH ST, LINDENHURST, NY 11757
(631) 412-3130
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3031581
NY
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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