Individual provider · Type 1 NPI

Dawn M. Diecidue, NP

Nurse Practitioner · Stony Brook, NY

NPI number 1194947085 Active

Practice location

2500 Nesconset Highway, Building 23
Stony Brook, NY 11790

Call (631) 246-9100 Map

Fax (631) 246-9156

Mailing address

7 Everit Place
Smithtown, NY 11787

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	F420410 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194947085

Dawn M. Diecidue, NP's National Provider Identifier is 1194947085, issued on May 2, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 8, 2007.