Diego Bauza, R.N.
Individual provider Active NPI Registered Nurse · Hawthorne, NY
NPI 1306387998 · NPPES record last updated Mar 15, 2017
Key facts
- NPI
- 1306387998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 718577-1 (NY)
- Practice address
- 500 Linda Ave
Goldsmith
Hawthorne, NY 10532-1313 - Phone
- (914) 773-7624
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718577-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 718577-1 | NY | Yes |
Addresses
Primary practice location
500 Linda Ave
Goldsmith
Hawthorne, NY 10532-1313
Mailing address
500 Linda Ave
Goldsmith
Hawthorne, NY 10532-1313
Phone (914) 773-7624
Other providers in Hawthorne, NY
- Agnes Q Banquet
- Andrew Barajikian
- Madelyn Bart
- Rose A Bartone
- Jaclyn Basso
- Kayla Claire Bell
- Tiffany Bell
- Andrew Joseph Bellantoni
- Jessica Belz
- Susanne Bengtsson
All providers in Hawthorne, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. 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.