Individual
DIANE ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-3575
(631) 444-1054
Mailing address
100 NICHOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-3575
(631) 444-1054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010506
NY
Other
Enumeration date
07/10/2006
Last updated
04/16/2025
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