Individual
MS. KRISTIN MARIE DIANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 CHESTNUT COR, LANCASTER, NY 14086-9394
(716) 310-7291
Mailing address
50 CHESTNUT COR, LANCASTER, NY 14086-9394
(716) 310-7291
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F354651-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02914152
—
NY
Enumeration date
01/10/2008
Last updated
07/17/2024
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