DIANA DELUCA


Address: 55 Johanna Ln, Staten Island, NY 10309-3632
Phone: 7189667784

DIANA DELUCA (NPI# 1154709210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154709210
Entity Type Individual
Full Name DIANA DELUCA
Practice Address 55 Johanna Ln
Staten Island
NY 10309-3632
Practice Telephone 7189667784
Enumeration Date 2015-05-09
Last Update Date 2015-05-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 55 JOHANNA LN
City STATEN ISLAND
State NY
Zip Code 10309-3632

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1770007767 Graceann Cotroneo Specialist 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 2017-08-01
1477075836 Matthew Jordan Levine Specialist 15 Redwood Loop, Staten Island, NY 10309 2017-07-07
1619339256 Empire Vision Center, Inc. Eyewear Supplier (Equipment, not the service) 205 Bricktown Way, Ste A, Staten Island, NY 10309 2016-03-23
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1811363591 Daniella Aryeh Speech-Language Pathologist 997 Stafford Avenye, Staten Island, NY 10309 2015-08-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457985517 Fina Vitale Physician Assistant 61 Littlefield Ave, Staten Island, NY 10312-6509 2020-02-27
1881081784 Aminata Dieng Physician Assistant 141 Parkhill Av Apt 4w, Staten Island, NY 10304-3402 2015-04-20
1134517071 Michael Migliorini Physician Assistant 416 Mcclean Ave, Staten Island, NY 10305-3610 2014-12-30
1629353180 Anna Litvin Physician Assistant 3913 Richmond Ave., Staten Island, NY 10312 2011-10-17
1487942645 Rachel Tova Steinberg Physician Assistant 1012 Westwood Ave, Staten Island, NY 10314-4242 2011-07-20
1245539949 Austin Epstein Physician Assistant 305 Seguine Ave Apt 1, Staten Island, NY 10309-3712 2011-03-21
1275843807 Marlena Ludwika Burek Physician Assistant 23 Laforge Ave, 2, Staten Island, NY 10302-1634 2010-10-17
1811207962 Marie Nicole Caragiulo Physician Assistant 176 Lovelace Ave, Staten Island, NY 10312-3208 2010-10-07
1831421999 Krishma Patel Physician Assistant 45 Little Clove Rd, Staten Island, NY 10301-4306 2010-01-31
1215261094 Dawn Prinzivalli Physician Assistant 309 Pacific Ave, Staten Island, NY 10312-5124 2009-09-25
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Competitor

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City STATEN ISLAND
Zip Code 10309

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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