Individual
MS. DIANA J PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP BC
Contact information
Practice address
5130 E MAIN STREET RD, SUITE 2, BATAVIA, NY 14020-3433
(585) 344-1421
(585) 344-3047
Mailing address
5130 E MAIN STREET RD, SUITE 2, BATAVIA, NY 14020-3433
(585) 344-1421
(585) 344-3047
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
271318-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
271318-1
LICENSE
NY
01
—
401204
NP PSYCHIATRY LICENSE NUMBER
NY
Enumeration date
03/07/2007
Last updated
05/03/2018
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