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Dianne Deforest
NPI 1861767659 · on the registry since 2012 · sole proprietor
Practice
- Address
- 100 Tompkins Ave
Staten Island, NY 10304 - Phone
- (718) 816-8319
- Fax
- (718) 981-6931
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York