Provider Demographics
NPI:1285833947
Name:STRANIERI, DIANE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:STRANIERI
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTH SHORE CHILD AND FAMILY GUIDANCE CENTER
Mailing Address - Street 2:480 OLD WESTBURY ROAD
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2215
Mailing Address - Country:US
Mailing Address - Phone:516-626-1971
Mailing Address - Fax:516-626-7932
Practice Address - Street 1:NORTH SHORE CHILD AND FAMILY GUIDANCE CENTER
Practice Address - Street 2:480 OLD WESTBURY ROAD
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2215
Practice Address - Country:US
Practice Address - Phone:516-626-1971
Practice Address - Fax:516-626-7932
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRN3754771364SP0807X
NY400076363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent