Individual
DIANA PFERSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6200 ONTARIO CENTER RD, BOX 155, ONTARIO CENTER, NY 14520-0155
(315) 524-1064
(315) 524-1079
Mailing address
6200 ONTARIO CENTER RD, BOX 155, ONTARIO CENTER, NY 14520
(315) 524-1064
(315) 524-1079
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
284954
NY
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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