Individual
DIANE SCHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
518 MONTAUK HWY, AMAGANSETT, NY 11930-2110
(917) 494-2522
Mailing address
200 PANTIGO PL, STE I, EAST HAMPTON, NY 11937-5922
(917) 494-2522
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
561871
NY
Other
Enumeration date
02/07/2014
Last updated
03/25/2019
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