DIANE ELIZABETH WAHNE

PATCHOGUE, NY
NPI1619454139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  402469)
Enumeration Date2018-07-26
Last Update Date2019-05-11
Business Address
DIANE ELIZABETH WAHNE PMHNP
122 W ROE BLVD
PATCHOGUE, NY 11772-2569
Phone number: 631-493-7636
Mailing Address
DIANE ELIZABETH WAHNE PMHNP
15 NEW MILL RD
SMITHTOWN, NY 11787-3323
Phone number:
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