Individual
DIANA NIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
775 PARK AVE STE 145, HUNTINGTON, NY 11743-7513
(631) 261-4445
Mailing address
775 PARK AVE STE 145, HUNTINGTON, NY 11743-7513
(631) 261-4445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
290076
NY
Other
Enumeration date
02/13/2014
Last updated
01/10/2024
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