Individual
MRS. DIANE MARIE SCAGLIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP
Contact information
Practice address
1860 WHISKEY CREEK RD, CORNING, NY 14830-9306
(607) 962-0404
Mailing address
115 LIBERTY ST, BATH, NY 14810-1508
(607) 664-2255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401884
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331782-1
RN
NY
Enumeration date
11/14/2011
Last updated
07/07/2015
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