Individual
DIANE E PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 WESTCHESTER AVE, WEST HARRISON, NY 10604
(914) 682-6532
(914) 681-5260
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01917266
—
NY
Enumeration date
11/08/2006
Last updated
07/08/2019
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