MEDICARE: DIANA MUNOZ MSN, APRN, FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	F343426-1	NY
2	363LW0102X	Women's Health Nurse Practitioner	F343426-1	NY

General Provider Information

NPI Number	:	1811557846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA MUNOZ MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	1998 COMMERCE ST
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4412
Country	:	US
Telephone Number	:	917-593-8955
Fax Number	:	866-531-8109

Provider Business Practice Location Address
First Line	:	111 W 110TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10026-4281
Country	:	US
Telephone Number	:	914-689-4868
Fax Number	:	866-531-8109

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	02/04/2025

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Directions to “ DIANA MUNOZ MSN, APRN, FNP-BC” Practice Location

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