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NPI Code Detail

MEDICARE: DR. DIANE NICOLE MOYA DO

MEDICARE: DR. DIANE NICOLE MOYA DO
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
1208100000XPhysical Medicine & Rehabilitation Physician34.017888OH

General Provider Information

NPI Number : 1932785375
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANE NICOLE MOYA DO
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 196 MERRICK RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-1420
Country : US
Telephone Number : 516-255-8414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2021
Last Update Date : 01/12/2026

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Directions to “ DR. DIANE NICOLE MOYA DO” Practice Location

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