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Individual

MS. DIANA D'MEZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2265 OLINVILLE AVE APT 4F, BRONX, NY 10467-7828
(954) 594-7204
Mailing address
2265 OLINVILLE AVE APT 4F, BRONX, NY 10467-7828
(954) 594-7204

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347000
NY

Other

Enumeration date
12/02/2020
Last updated
12/02/2020
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