Individual
DIANE ABIOLA SIMPSON DASENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8010 NORTHERN BLVD STE A, JACKSON HEIGHTS, NY 11372-1345
(917) 310-3371
(516) 938-1554
Mailing address
135 MINEOLA BLVD FL 2, MINEOLA, NY 11501-3917
(917) 410-6990
(516) 938-1554
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F343289-1
NY
Other
Enumeration date
04/07/2020
Last updated
12/12/2025
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