Individual
DIANE ALIS FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14012 RT 31 W, ALBION, NY 14411-9372
(585) 589-2778
(585) 589-3169
Mailing address
14012 RT 31 W, ALBION, NY 14411-9372
(585) 589-2778
(585) 589-3169
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03002119
—
NY
Enumeration date
06/29/2012
Last updated
06/29/2012
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