Individual
DIANE M CLAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 N BELLE MEAD RD, E SETAUKET, NY 11733-3456
(631) 751-3000
(631) 675-2001
Mailing address
1500 ROUTE 112, BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 675-2001
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
186523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01681621
—
NY
Enumeration date
06/21/2005
Last updated
08/20/2019
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