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Individual

MISS DIAN DYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1000 ATLANTIC AVE, BALDWIN, NY 11510-4247
(516) 867-0800
Mailing address
15 GILBERT PL, AMITYVILLE, NY 11701-2604
(631) 672-9874

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
675302
NY

Other

Enumeration date
05/02/2021
Last updated
05/02/2021
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