Individual
DIANE BOATENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 241-6756
Mailing address
8 SHERMAN PL, OSSINING, NY 10562-3620
(646) 726-5671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8865367
NY
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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