Wilson, Diane Gail

Wilson, Diane Gail is an individual health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wilson, Diane Gail can be contacted via phone (516) 663-8369.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Fax: (516) 663-3698
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381239 New York

Profile Details

NPI number 1386921229
LBN Legal business name Wilson, Diane Gail
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2011
Last updated Nov 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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