Individual
MS. LISA MARIE NIEVES-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(631) 266-4450
(631) 923-1955
Mailing address
25 LITTLE PLAINS RD, HUNTINGTON, NY 11743-4550
(631) 266-4450
(631) 923-1955
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
645784-1
NY
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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