Individual
DIANA MACAULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 CONEY ISLAND AVE, BROOKLYN, NY 11223-2347
(718) 375-0040
(718) 375-0063
Mailing address
2118 CONEY ISLAND AVE, BROOKLYN, NY 11223-2347
(718) 375-0040
(718) 375-0063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343383
NY
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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