Murillo, Diana M.

Murillo, Diana M. is an individual health care provider with primary practice located at 2103 Deer Park Ave Ste 200 , Deer Park NY 11729-1317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Murillo, Diana M. can be contacted via phone (631) 574-2060.

Contact Information

Primary practice address
2103 Deer Park Ave Ste 200 Deer Park NY 11729-1317
Phone: (631) 574-2060
Fax: (877) 673-8535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020410 New York

Profile Details

NPI number 1326588062
LBN Legal business name Murillo, Diana M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2017
Last updated Oct 12th, 2020 - about 4 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 1326588062 NPPES
New York MEDICAID 04719691

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