Individual provider · Type 1 NPI

Diana Jernigan-Breedy

Specialist · Coram, NY

NPI number 1356748826 Active

Practice location

17 Wycomb Pl
Coram, NY 11727-1043

Call (718) 309-3481 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X743044131 (NY)

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 1356748826

Diana Jernigan-Breedy's National Provider Identifier is 1356748826, issued on Nov 29, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coram, NY. The record was last updated on Nov 22, 2016.