Provider Demographics
NPI:1356620603
Name:COSEGLIA-DANNA, DIANA ELIZABETH (RN, HNP, FNP)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:ELIZABETH
Last Name:COSEGLIA-DANNA
Suffix:
Gender:F
Credentials:RN, HNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-2406
Mailing Address - Country:US
Mailing Address - Phone:917-886-1924
Mailing Address - Fax:718-448-6820
Practice Address - Street 1:1145 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-2406
Practice Address - Country:US
Practice Address - Phone:917-886-1924
Practice Address - Fax:718-448-6820
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF450003363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care