Individual
MS. DIANE C CEBALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1385 BROADWAY RM 1005, NEW YORK, NY 10018-6016
(212) 695-0720
Mailing address
1575 WILLIAMSBRIDGE RD APT 7G, BRONX, NY 10461-6273
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
747767
NY
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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