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Diana D. Ivezaj, NP
Family Nurse Practitioner in Roslyn, New York
NPI 1346910551

Diana D. Ivezaj is a Family Nurse Practitioner based in Roslyn, NY and is specialized in Family. Diana D. Ivezaj practices in Roslyn, NY and has the professional credentials of NP. The NPI Number for Diana D. Ivezaj is 1346910551 and holds a License No. 348243 (New York).

The current practice location address for Diana D. Ivezaj is 100 Port Washington Blvd, Roslyn, NY and can be reached out via phone at 516-365-4888.

Location: 100 Port Washington Blvd, Roslyn, NY, 11576-1347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346910551
Provider Name
Diana D. Ivezaj
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Port Washington Blvd, Roslyn, NY, 11576-1347
Phone Number
516-365-4888
Fax Number
Provider Enumeration Date
09/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Port Washington Blvd
City
Roslyn
State
New York
Zip
11576-1347
Phone Number
516-365-4888
Fax Number
person
Provider Business Mailing Address Details
Address
100 Port Washington Blvd
City
Roslyn
State
New York
Zip
11576-1347
Phone Number
516-365-4888
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
348243 (New York)
Definition
Definition to come...
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