Provider Demographics
NPI:1801858618
Name:RESCIGNO, DIANE (OD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:
Last Name:RESCIGNO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WESTAGE BUSINESS CTR DR
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2281
Mailing Address - Country:US
Mailing Address - Phone:845-231-5560
Mailing Address - Fax:845-231-5489
Practice Address - Street 1:500 AARON CT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2966
Practice Address - Country:US
Practice Address - Phone:845-231-5600
Practice Address - Fax:845-334-9338
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT0051641152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U18011Medicare UPIN
NYA400047244Medicare PIN