Diana Marie Vanvliet
Individual provider Active NPI Specialist · Calverton, NY
NPI 1073258570 · NPPES record last updated Apr 29, 2022
Key facts
- NPI
- 1073258570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 26 Cherry St
Calverton, NY 11933-9779 - Phone
- (631) 384-7096
- NPI assigned
- Apr 29, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
26 Cherry St
Calverton, NY 11933-9779
Mailing address
26 Cherry St
Calverton, NY 11933-9779
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | dvanvliet@justkidseclc.org |
Other providers in Calverton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.