Individual
DR. DIANA MARIE NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
295 FLATBUSH AVENUE EXT FL 4, BROOKLYN, NY 11201-3001
(718) 249-1468
Mailing address
4209 28TH ST # CN-48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1836651
NY
Other
Enumeration date
06/20/2006
Last updated
03/11/2024
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