Provider Demographics
NPI:1174829394
Name:PLACCO, DYANA M (RN)
Entity Type:Individual
Prefix:
First Name:DYANA
Middle Name:M
Last Name:PLACCO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WRIGHT PL
Mailing Address - Street 2:APT. A4
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5324
Mailing Address - Country:US
Mailing Address - Phone:914-725-9049
Mailing Address - Fax:
Practice Address - Street 1:10 WRIGHT PL
Practice Address - Street 2:APT. A4
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5324
Practice Address - Country:US
Practice Address - Phone:914-725-9049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-05
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY506360163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse