Diecidue, Dawn M

Diecidue, Dawn M is an individual health care provider with primary practice located at 2500 Nesconset Highway Building 23, Stony Brook NY 11790. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Diecidue, Dawn M can be contacted via phone (631) 246-9100.

Contact Information

Primary practice address
2500 Nesconset Highway Building 23 Stony Brook NY 11790
Phone: (631) 246-9100
Fax: (631) 246-9156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F420410 New York

Profile Details

NPI number 1194947085
LBN Legal business name Diecidue, Dawn M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Jul 8th, 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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