Healthcare Provider Details

I. General information

NPI: 1245152230
Provider Name (Legal Business Name): DIANA AULOVA MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15017 78TH AVE
FLUSHING NY
11367-3436
US

IV. Provider business mailing address

15017 78TH AVE
FLUSHING NY
11367-3436
US

V. Phone/Fax

Practice location:
  • Phone: 347-592-7408
  • Fax:
Mailing address:
  • Phone: 347-592-7408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number356848
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: