Virginia Difede MSED

NPI 1023373792 - Specialist - 174400000X

NPI Details
NPI 1023373792
Gender Female
Enumeration Date 07/09/2012
Last Updated 07/18/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
255 EXECUTIVE DR
SUITE LL 105/108
PLAINVIEW NY, 11803-6604, US
Phone (516) 576-2040
Fax (516) 576-2131
Business Location
26 HIGHVIEW LN
RIDGE NY, 11961-2111, US
Phone (631) 740-4097
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 2347
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According to our database, Virginia Difede MSED NPI is 1023373792, taxonomy code is 174400000X and license number is 2347, license state is located at New York. Virginia Difede MSED physically located at 255 Executive Dr, Plainview NY, 11803-6604. NPI Number Virginia Difede MSED has the Individual type.

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1023373792 NPI number is provided on an as is basis without warranty of any kind. 1023373792 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Difede MSED are for informational purposes only.