Individual
DIANA M. MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
373 ROUTE 111 STE 7, SMITHTOWN, NY 11787-4759
(631) 360-7450
(631) 360-7455
Mailing address
5000 BRITTONFIELD PKWY STE 500, EAST SYRACUSE, NY 13057-9226
(315) 362-5129
(315) 362-5129
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04719691
—
NY
Enumeration date
02/28/2017
Last updated
05/21/2025
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