Provider Demographics
NPI:1487188835
Name:SARGENT FAUSTINO, DIANA FILIPA (CNM)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:FILIPA
Last Name:SARGENT FAUSTINO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:FILIPA
Other - Last Name:DOS SANTOS FAUSTINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:1200 BROWN ST.
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8619
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:1037 MAIN ST
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2913
Practice Address - Country:US
Practice Address - Phone:914-734-8800
Practice Address - Fax:845-765-9406
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF001776176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife