Individual
DIANA ELLEN MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
161 FORT WASHINGTON AVENUE, HIP-8, NEW YORK, NY 10032
(646) 317-6041
(212) 305-6891
Mailing address
161 FORT WASHINGTON AVE FL 9, NEW YORK, NY 10032-3729
(646) 317-6041
(212) 305-6891
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
717786-1
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F308556-1
NY
Other
Enumeration date
04/26/2017
Last updated
12/05/2023
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