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Individual

DR. BARRY LAWRENCE DIENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4080
(631) 444-8340
(631) 444-6045
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-8014
(631) 444-6045

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
274091
NY
2080P0214X
Pediatric Pulmonology Physician
MD441936
PA

Other

Enumeration date
07/15/2011
Last updated
06/25/2014
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