Individual
MS. DIANNA MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNBSN
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 324-5915
(585) 324-5924
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 324-5915
(585) 324-5924
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
320396-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WSO200X
—
NY
Enumeration date
02/16/2012
Last updated
02/16/2012
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