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

Diana Pak

Individual provider Family Nurse Practitioner · NPI 1760332274

Diana Pak is a Nurse Practitioner in Glendale, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

6829 Myrtle Ave
Glendale, NY 11385-7234
Phone: (718) 821-4424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F358904 (NY)

Record details

NPI number1760332274
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 3, 2026
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address6829 Myrtle Ave, Glendale, NY 11385-7234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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