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DIANA JERNIGAN-BREEDY
NPI 1356748826
Specialist in Coram, NY

Active since November 29, 2014

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diana Jernigan-breedy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA JERNIGAN-BREEDY (NPI 1356748826) is an individual specialist in Coram, New York, licensed in New York (743044131) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1356748826
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDIANA JERNIGAN-BREEDY
Location Address17 WYCOMB PLCoram, NY 11727-1043
Mailing Address17 Wycomb PlCoram, NY 11727-1043 · (718) 309-3481
Phone(718) 309-3481
Sole ProprietorYes
Enumeration DateNovember 29, 2014
Last NPPES UpdateNovember 22, 2016
✔ NPI 1356748826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 743044131
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17 WYCOMB PL, Coram, NY 11727
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Jernigan-breedy's NPI number?

The NPI number for Diana Jernigan-breedy is 1356748826. It was assigned to this individual provider in the NPPES registry on November 29, 2014.

Where is Diana Jernigan-breedy located?

Diana Jernigan-breedy practices at 17 Wycomb Pl, Coram, NY 11727. The listed phone number is (718) 309-3481.

What is Diana Jernigan-breedy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Diana Jernigan-breedy was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.