DIANE KATHLEEN PASTOR N.P.
NPI 1093073710
Nurse Practitioner - Adult Health in Northport, NY
Active since May 01, 2012
About Diane Kathleen Pastor N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE KATHLEEN PASTOR N.P. (NPI 1093073710) is an individual adult health provider in Northport, New York, licensed in New York (F305997-1) and active in the NPI registry since May 2012.
NPPES Registry Identity
NPI1093073710
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDIANE KATHLEEN PASTORCredential: N.P.
Location Address4 LORD JOES LNDGNorthport, NY 11768-1570
Mailing Address4 Lord Joes LndgNorthport, NY 11768-1570 · (631) 754-6819
Phone(631) 754-6819
Sole ProprietorYes
Enumeration DateMay 1, 2012
✔ NPI 1093073710 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F305997-1
4 LORD JOES LNDG, Northport, NY 11768
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093073710, enumerated as an "individual" on May 01, 2012.
The provider is located at 4 LORD JOES LNDG NORTHPORT, NY 11768 and the phone number is (631) 754-6819.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
