Individual
DIANA KORNEEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, FNP
Contact information
Practice address
3065 BRIGHTON 7TH STREET, 2ND FLOOR, BROOKLYN, NY 11235-5997
(718) 576-2012
Mailing address
63 BRIGHTON 2ND PL APT 2B, BROOKLYN, NY 11235-7067
(347) 449-3691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350744
NY
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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