Individual
DIANE M. SIRAKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 DUTCHESS DR, ORANGEBURG, NY 10962-2702
(845) 521-8833
Mailing address
32 DUTCHESS DR, ORANGEBURG, NY 10962-2702
(845) 521-8833
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
485399
NY
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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