Individual
DIANA FUGGETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 RAMONA AVE, STATEN ISLAND, NY 10312-2718
(917) 535-8131
Mailing address
237 RAMONA AVE, STATEN ISLAND, NY 10312-2718
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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