Individual provider · Type 1 NPI

Diane Ambrose

Specialist · North Massapequa, NY

NPI number 1255693016 Active

Practice location

135 N Elm St
North Massapequa, NY 11758-2648

Call (516) 541-2594 Map

Fax (516) 795-7317

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255693016

Diane Ambrose's National Provider Identifier is 1255693016, issued on Jun 7, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in North Massapequa, NY. The record was last updated on Jun 7, 2012.