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NPI Code Detail

MEDICARE: MRS. DIANE MARIE EADE N.P.

MEDICARE: MRS. DIANE MARIE EADE N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF332471-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548248545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE MARIE EADE N.P.
Provider Business Mailing Address
First Line : 27 BELMANOR DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-3001
Country : US
Telephone Number : 585-427-7733
Fax Number :
Provider Business Practice Location Address
First Line : 1425 PORTLAND AVE
Second Line : RADIATION ONCOLOGY-LIPSON CANCER CENTER
City : ROCHESTER
State : NY
Zip : 14621-3001
Country : US
Telephone Number : 585-922-4031
Fax Number : 585-922-2971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 07/08/2007

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