Individual
DR. DIANE HILDE MAGLIULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
245 W MAIN ST, BAY SHORE, NY 11706-8323
(631) 969-0000
(631) 969-1094
Mailing address
245 W MAIN ST, BAY SHORE, NY 11706-8323
(631) 969-0000
(631) 969-1094
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
183975
NY
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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