Individual
EMMA DAYANGCO DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
161 GENESEE ST STE 203, AUBURN, NY 13021-3498
(315) 255-0947
(315) 255-0942
Mailing address
60 MAIN STREET, PORT BYRON, NY 13140-0359
(315) 776-9700
(315) 776-9701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336078-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03508490
—
NY
Enumeration date
02/13/2012
Last updated
08/03/2022
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