Individual
MRS. DIANE C. DEFILIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
126 E PARK AVE, LONG BEACH, NY, LONG BEACH, NY 11561-3510
(516) 321-0966
(516) 208-8430
Mailing address
PO BOX 1034, 101 EAST PARK AVE., LONG BEACH, NY 11561-0962
(516) 321-0966
(516) 208-8430
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401781-1
NY
Other
Enumeration date
06/23/2014
Last updated
12/02/2014
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