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1417686809
JENNA MARIE DIANA
NEW HYDE PARK, NY
NPI
1417686809
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Former Name
JENNA MARIE LAUKAITIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 383207)
Enumeration Date
2022-06-09
Last Update Date
2023-03-27
Business Address
JENNA MARIE DIANA CPNP-PC
26901 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-3000
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Mailing Address
JENNA MARIE DIANA CPNP-PC
61 HUNTINGTON AVE
LYNBROOK, NY 11563-3735
Phone number: 516-987-2108
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