DIANE MISERCOLA

FORT DRUM, NY
NPI1770932469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NY  021568)
Enumeration Date2016-06-03
Last Update Date2016-06-06
Business Address
MS. DIANE MISERCOLA DENTAL HYGIENIST
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602-5005
Phone number: 315-772-6889
Mailing Address
MS. DIANE MISERCOLA DENTAL HYGIENIST
10590 ENDURING FREEDOM DR
FORT DRUM, NY 13602-5005
Phone number: 315-772-8891