Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS DIANE JUNE DOUGLASS, CDN, DTR
Active Sole Proprietor136A00000X · COBLESKILL, NY
Registration Details
- NPI Number
- 1821210691
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2007 (18.973367237892 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
004410 (NY)708965 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
178 GRANDVIEW DRBASSETT HOSPITAL OF SCHOHARIE COUNTYCOBLESKILL, NY, 120435144Browse NY providers · Browse ZIP 12043
- Phone
- 5182543403
- Primary Specialty
-
136A00000X
136A00000X
- Additional Specialty
- 136A00000X
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.