Individual
DIANE RITA MAYDICK YOUNGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
54 VALENCIA AVE, STATEN ISLAND, NY 10301-2024
(917) 208-0976
Mailing address
54 VALENCIA AVE, STATEN ISLAND, NY 10301-2024
(917) 208-0976
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
A271020-1
NY
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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