Individual
DIANA YING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
53 SUNNYSIDE AVE, DUMONT, NJ 07628-3612
(908) 425-8809
Mailing address
53 SUNNYSIDE AVE, DUMONT, NJ 07628-3612
(908) 425-8809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16760100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00681000
NJ
Other
Enumeration date
10/14/2016
Last updated
10/26/2016
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