Provider Demographics
NPI:1477761641
Name:DIGGLE-FOX, BARBARA SUZY (RN, NP, MS)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SUZY
Last Name:DIGGLE-FOX
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Gender:F
Credentials:RN, NP, MS
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Mailing Address - Street 1:4039 W GILGO BCH
Mailing Address - Street 2:
Mailing Address - City:WEST GILGO BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11702-4615
Mailing Address - Country:US
Mailing Address - Phone:631-221-9733
Mailing Address - Fax:631-221-9733
Practice Address - Street 1:68 HAUPPAUGE RD
Practice Address - Street 2:GURWIN JEWISH GERIATRIC CENTER, EMPLOYEE HEALTH
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-4403
Practice Address - Country:US
Practice Address - Phone:631-921-0838
Practice Address - Fax:631-221-9733
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2011-02-08
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Provider Licenses
StateLicense IDTaxonomies
NY349443-1163W00000X
NYF300525-1363LA2200X
NYF340013-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY94N971Medicare UPIN