Individual
DIANE CESARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
325 E MAIN ST, PATCHOGUE, NY 11772-3114
(631) 654-3278
Mailing address
544 BUSINESS ROUTE 25A, ROCKY POINT, NY 11778
(914) 439-1025
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309229-01
NY
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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