Medina, Diana Viola

Medina, Diana Viola is an individual health care provider with primary practice located at 3775 Southwestern Blvd Ste A, Orchard Park NY 14127. 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. Medina, Diana Viola can be contacted via phone (716) 667-1980.

Contact Information

Primary practice address
3775 Southwestern Blvd Ste A Orchard Park NY 14127
Phone: (716) 667-1980
Fax: (716) 667-1982
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F303935-1 New York

Profile Details

NPI number 1447243522
LBN Legal business name Medina, Diana Viola
Credentials ANP C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1447243522 NPPES
New York Other 147122CG PREFERRED CARE
New York Other 000560866001 PREFERRED CARE
New York Other 00026761101 PREFERRED CARE
New York Other 9512629 PREFERRED CARE

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