Individual
DIANE B GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
260 PATCHOGUE YAPHANK RD, E PATCHOGUE, NY 11772-4886
(631) 289-0300
(631) 289-0402
Mailing address
260 PATCHOGUE YAPHANK RD, E PATCHOGUE, NY 11772-4886
(631) 289-0300
(631) 289-0402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
271847-1
NY
Other
Enumeration date
06/04/2007
Last updated
03/16/2010
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