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Individual

DIANA STOREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
270-5 76TH AVE, NEW HYDE PARK, NY 11040
(718) 470-5301
Mailing address
17 LINDEN ST, GARDEN CITY, NY 11530-1810
(914) 391-1209

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
023217
NY
363A00000X
Physician Assistant
Primary
023217
NY

Other

Enumeration date
02/06/2019
Last updated
10/30/2024
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