Individual
DIANA ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1436 BROADWAY, HEWLETT, NY 11557-1405
(929) 210-6550
(929) 210-6551
Mailing address
1436 BROADWAY, HEWLETT, NY 11557-1405
(929) 210-6550
(929) 210-6551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330067
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02318963
—
NY
Enumeration date
01/12/2007
Last updated
03/14/2014
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