Individual
DIANNA VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 JUNIPER ST, CENTRAL ISLIP, NY 11722-3809
(631) 456-7157
Mailing address
160 NOBLE ST, BRENTWOOD, NY 11717-6518
(631) 456-7157
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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