Individual
DIANE E BOARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, MS, PMHNP-BC
Contact information
Practice address
186 POND VIEW LN, SMITHTOWN, NY 11787-5200
(516) 721-1976
(631) 689-2055
Mailing address
186 POND VIEW LN, SMITHTOWN, NY 11787-5200
(516) 721-1976
(631) 689-2055
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400809
NY
Other
Enumeration date
03/24/2007
Last updated
04/21/2025
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