DIANA CRISAN

MEETING HOUSE LANE MEDICAL PRACTICE PC

Dr DIANA CRISAN is a female medical professional, specializing in Neurology. She graduated in 1996.

Contact

MEETING HOUSE LANE MEDICAL PRACTICE PC

34 E MONTAUK HWY
SUITE 4
HAMPTON BAYS
NY
119461866

Tel: 6317280505

DIANA CRISAN Information

Npi 1669796009
Pac Id 5991012262
Professional Enrollment Id I20150918000903
Last Name CRISAN
First Name DIANA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1996
Primary Specialty NEUROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MEETING HOUSE LANE MEDICAL PRACTICE PC
Group Practice Pac Id 6800972589
Number Of Group Practice Members 88
Line 1 Street Address 34 E MONTAUK HWY
Line 2 Street Address SUITE 4
Marker Of Address Line 2 Suppression
City HAMPTON BAYS
State NY
Zip Code 119461866
Phone Number 6317280505
Hospital Affiliation Ccn 1 330393
Hospital Affiliation Lbn 1 SUNY/STONY BROOK UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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