Decarolis, Diane

Decarolis, Diane is an individual health care provider with primary practice located at 605 Grove St Unit B1, Clifton NJ 07013-3849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Decarolis, Diane can be contacted via phone (917) 751-8700.

Contact Information

Primary practice address
605 Grove St Unit B1 Clifton NJ 07013-3849
Phone: (917) 751-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00585700 New Jersey

Profile Details

NPI number 1285884890
LBN Legal business name Decarolis, Diane
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2008
Last updated Jan 18th, 2016 - about 8 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 1285884890 NPPES
New York MEDICAID 00475378

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