DAWN M DIECIDUE

STONY BROOK, NY
NPI1194947085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  F420410)
Enumeration Date2007-05-02
Last Update Date2007-07-08
Business Address
-- DAWN M DIECIDUE NP
2500 NESCONSET HIGHWAY BUILDING 23
STONY BROOK, NY 11790
Phone number: 631-246-9100
Mailing Address
-- DAWN M DIECIDUE NP
7 EVERIT PLACE
SMITHTOWN, NY 11787
Phone number: 631-724-5126
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