Crociata, Diane Patricia

Crociata, Diane Patricia is an individual health care provider with primary practice located at 1 St Johns Rd , Hampton Bays NY 11946. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Pediatrics. Nursing Service Providers / Registered Nurse is her primary health care specialty. Crociata, Diane Patricia can be contacted via phone (631) 379-7454.

Contact Information

Primary practice address
1 St Johns Rd Hampton Bays NY 11946
Phone: (631) 379-7454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4824371 New York
Nursing Service Providers / Pediatrics 163WP0200X 4824371 New York

Profile Details

NPI number 1588863344
LBN Legal business name Crociata, Diane Patricia
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588863344 NPPES
New York MEDICAID 02021685

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