Individual
MRS. DIANA CRUZ BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BS,MA
Contact information
Practice address
202 BURR RD, COMMACK, NY 11725-1810
(631) 858-3621
(631) 858-3643
Mailing address
202 BURR RD, COMMACK, NY 11725-1810
(631) 858-3621
(631) 858-3643
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
292455
NY
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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