Diana Nisanov
NPI #1831632439 in Springfield Gardens, New York
Provider Information
- NPI Number
- 1831632439
- Entity Type
- Individual
- Name
- Diana Nisanov
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 30, 2016
- Last Updated
- Nov 30, 2016
Practice Location
- Address
- 14500 SPRINGFIELD BLVD
- State
- New York
- ZIP Code
- 11413-3455
- Phone
- (718) 977-6180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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