Individual
MS. DIANE PATRICIA PORCELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2602 SADDLE ROCK RD, HOLBROOK, NY 11741-4833
(631) 337-1934
(631) 337-1934
Mailing address
2602 SADDLE ROCK RD, HOLBROOK, NY 11741-4833
(631) 337-1934
(631) 337-1934
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
298096
NY
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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