Individual
DIANE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 PRINCE ST STE 3C, FLUSHING, NY 11354-4650
(718) 380-7800
Mailing address
419 COOLIDGE AVE, ROCKVILLE CENTRE, NY 11570-3307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
708471
NY
363LF0000X
Family Nurse Practitioner
Primary
358027
NY
Other
Enumeration date
07/23/2019
Last updated
03/31/2026
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