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Individual

DENISE DIAMANTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12360 83RD AVE # QVE, KEW GARDENS, NY 11415-3452
(718) 793-4959
Mailing address
12360 83RD AVE # QVE, KEW GARDENS, NY 11415-3452
(718) 793-4959

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
490039-1
NY
163WH0200X
Home Health Registered Nurse
490039-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01790789
NY
Enumeration date
06/08/2008
Last updated
06/08/2008
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