Individual
MS. DIANE MANUS-BIANCULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP,C
Contact information
Practice address
1600 BRECKNOCK RD, GREENPORT, NY 11944-3100
(631) 477-4216
(631) 477-4065
Mailing address
1600 BRECKNOCK RD, GREENPORT, NY 11944-3100
(631) 477-4216
(631) 477-4065
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302342
NY
Other
Enumeration date
04/10/2007
Last updated
07/09/2007
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