Individual
DIANNE V. MARCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P., PA
Contact information
Practice address
222 ALEXANDER ST, STE 5000, ROCHESTER, NY 14607-4039
(585) 922-8003
Mailing address
222 ALEXANDER ST, STE 5000, ROCHESTER, NY 14607-4039
(585) 922-8003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000632
NY
363LA2200X
Adult Health Nurse Practitioner
300488
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03052839
—
NY
01
—
P00249209
RAILROAD MEDICARE
NY
Enumeration date
03/31/2006
Last updated
01/27/2010
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