Individual
MRS. DIANE MARIE POPICHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7694 PRATTS FALLS RD, MANLIUS, NY 13104-8543
(315) 491-5801
Mailing address
7694 PRATTS FALLS RD, MANLIUS, NY 13104-8543
(315) 491-5801
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
669065
NY
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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