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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIANE AMBROSE

Active Sole Proprietor

DIANE AMBROSE is a Specialist healthcare provider located in N MASSAPEQUA, New York. NPI 1255693016 is currently active in the NPPES registry. Verify at CMS.

Specialist · N MASSAPEQUA, NY

Registration Details

NPI Number
1255693016
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2012 (14.178762058726 yrs)
Last Updated
Jun 7, 2012
Sole Proprietor
Yes

Practice Information

Address
135 N ELM ST
N MASSAPEQUA, NY, 117582648
Browse NY providers · Browse ZIP 11758
Phone
5165412594
Fax
5167957317
Primary Specialty
Specialist
174400000X

Other Specialist Providers in N MASSAPEQUA, NY

Name Credential NPI
JEFFREY BILGER D.P.T. 1093767626
DR. LAURENCE F MACK MD 1194747444
MISS LAUREN M BRIDA 1366706756
MRS. JENNIFER ANN SZCZEPANSKI 1356993901
CLAIRE MARIE BOOTHE 1447132840
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.