Individual
ELISE DIDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795
(631) 669-2555
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33 340918
NY
Other
Enumeration date
08/10/2016
Last updated
02/27/2024
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