Individual
DIANE INGELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
375 E MAIN ST STE 9, BAY SHORE, NY 11706-8418
(631) 224-1593
Mailing address
1 STRAWBERRY KNOLL CT, NORTHPORT, NY 11768-2646
(631) 235-1045
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310318
NY
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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