Individual
DIANE S CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
711 STEWART AVENUE, SUITE 114, GARDEN CITY, NY 11530
(516) 227-3254
(516) 998-4078
Mailing address
711 STEWART AVENUE, SUITE 114, GARDEN CITY, NY 11530
(516) 227-3254
(516) 998-4078
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
175615 1
NY
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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