Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diana Jernigan-Breedy

Individual provider Specialist · NPI 1356748826

Diana Jernigan-Breedy is a Specialist in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

17 Wycomb Pl
Coram, NY 11727-1043
Phone: (718) 309-3481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 743044131 (NY)

Record details

NPI number1356748826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2014
Last updated in NPPESNovember 22, 2016

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