Individual
DR. DIANE C. HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C. CDN
Contact information
Practice address
5 GRANDVIEW AVE, NANUET, NY 10954-2510
(845) 623-3939
(845) 624-5808
Mailing address
5 GRANDVIEW AVE, NANUET, NY 10954-2510
(845) 623-3939
(845) 624-5808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X005349-1
NY
133N00000X
Nutritionist
Primary
004088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014308
AMERICAN SPECIALTY HEALTH
NY
01
—
5967328
AETNA PPO
NY
01
—
C0-5449-8
WORKERS COMPENSATION
NY
Enumeration date
11/15/2006
Last updated
09/11/2025
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