Individual
DR. DIANE D DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 TENTH AVENUE, NEW YORK, NY 10019-1147
(212) 523-4332
(212) 523-4829
Mailing address
1900 HEMPSTEAD TPKE, SUITE 500, EAST MEADOW, NY 11554-1724
(516) 542-1090
(770) 666-9097
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
191279
NY
207ZP0101X
Anatomic Pathology Physician
Primary
191279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Y0802
BLUE CROSS
NY
01
—
220031046
MEDICARE RAILROAD
NY
01
—
5099653
GHI
NY
01
—
A400062374
NGS
NY
Enumeration date
01/04/2006
Last updated
04/10/2012
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