Individual
MS. DIANA JUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
30 E 60TH ST, SUITE 302, NEW YORK, NY 10022-1008
(917) 580-6344
Mailing address
30 E 60TH ST, SUITE 302, NEW YORK, NY 10022-1008
(917) 580-6344
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307134-1
NY
363LG0600X
Gerontology Nurse Practitioner
F307134-1
NY
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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