Individual
MRS. DIANE MARIE EADE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1425 PORTLAND AVE, RADIATION ONCOLOGY-LIPSON CANCER CENTER, ROCHESTER, NY 14621-3001
(585) 922-4031
(585) 922-2971
Mailing address
27 BELMANOR DR, ROCHESTER, NY 14623-3001
(585) 427-7733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F332471-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01707684
—
NY
Enumeration date
01/09/2006
Last updated
07/08/2007
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