Individual
DIANA M SAMBUCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NP-C
Contact information
Practice address
1999 MARCUS AVE, SUITE 106B, NEW HYDE PARK, NY 11042-1033
(516) 233-3701
Mailing address
1999 MARCUS AVE, SUITE 106B, NEW HYDE PARK, NY 11042-1033
(516) 233-3701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F306182-1
NY
363LA2200X
Adult Health Nurse Practitioner
F306182-1
NY
Other
Enumeration date
07/31/2013
Last updated
08/13/2013
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