Dawn M Diecidue, NP
NPI #1194947085 in Stony Brook, New York
Provider Information
- NPI Number
- 1194947085
- Entity Type
- Individual
- Name
- Dawn M Diecidue, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- May 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2500 NESCONSET HIGHWAY
- Address 2
- BUILDING 23
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790
- Phone
- (631) 246-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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