Individual
DIANA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 BOULEVARD E APT 20A, WEST NEW YORK, NJ 07093-4835
(718) 541-7496
Mailing address
7000 BOULEVARD E APT 20A, WEST NEW YORK, NJ 07093-4835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
288115-01
NY
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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