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NPI Code Detail

MEDICARE: DIANA JOAN SKEENE

MEDICARE: DIANA JOAN SKEENE
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
1164W00000XLicensed Practical Nurse231018-1NY

General Provider Information

NPI Number : 1477701837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANA JOAN SKEENE
Provider Business Mailing Address
First Line : 147 LINCOLN AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-3914
Country : US
Telephone Number : 914-500-5118
Fax Number :
Provider Business Practice Location Address
First Line : 147 LINCOLN AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-3914
Country : US
Telephone Number : 914-500-5118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2008
Last Update Date : 08/28/2008

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Directions to “ DIANA JOAN SKEENE ” Practice Location

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