Individual
MRS. DIANE L TALLEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 W JERICHO TPKE, HUNTINGTON, NY 11743-6336
(631) 549-1280
(631) 549-1005
Mailing address
22 MARCY AVE, HUNTINGTON STATION, NY 11746-7421
(631) 683-4669
(631) 549-1005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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