Diane Wade

NPI #1972739217 in Freeport, New York

Provider Information

NPI Number: 1972739217
Entity Type: Individual
Name: Diane Wade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 233 BRANCH AVE
City: Freeport
State: New York
ZIP Code: 11520-6007
Phone: (516) 377-1557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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