Individual
DIANA SOOKNANDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
21902 LINDEN BLVD, CAMBRIA HEIGHTS, NY 11411-1619
(718) 527-2850
Mailing address
52 SUNSET RD, VALLEY STREAM, NY 11580-3331
(516) 477-1950
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308347
NY
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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