Individual
DIANNE COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
265 BROADHOLLOW RD STE 201, MELVILLE, NY 11747-4833
(914) 216-7585
Mailing address
17 OAKWOOD ST, BLUE POINT, NY 11715-1115
(631) 252-4338
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
433785-01
NY
163WH0200X
Home Health Registered Nurse
433785-01
NY
163WI0500X
Infusion Therapy Registered Nurse
Primary
433785
NY
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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