Individual
DIANE ELIZABETH MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-6131
(718) 226-6131
Mailing address
208 CHELSEA ST, STATEN ISLAND, NY 10307-1713
(718) 317-9259
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F331305
NY
Other
Enumeration date
05/08/2009
Last updated
05/21/2012
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