DIANA PURTA

STONY BROOK, NY
NPI1720703978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  F349756)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  654806)
Enumeration Date2022-10-10
Last Update Date2022-10-10
Business Address
DIANA PURTA DNP, FNP, ENP
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-638-1036
Mailing Address
DIANA PURTA DNP, FNP, ENP
7 SHORT CT
EAST NORTHPORT, NY 11731-4316
Phone number: 516-286-4914