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

Diane Ambrose

Individual provider Specialist · NPI 1255693016

Diane Ambrose is a Specialist in N Massapequa, New York. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

135 N Elm St
N Massapequa, NY 11758-2648
Phone: (516) 541-2594
Fax: (516) 795-7317
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Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1255693016
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 7, 2012
Last updated in NPPESJune 7, 2012
Mailing address135 N Elm St, N Massapequa, NY 11758-2648

Other providers in N Massapequa