Most Relevant Information
Provider Data
| NPI Number: | 1003176413 |
| Provider Name: | DIANE RIPPLE |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/18/2012 |
| Last Updated: | 05/18/2012 |
Provider Practice Location
71 RIVIERA DR
SELDEN
NY
117841767
Practice Location Phone/Fax
| Phone: | 6316808470 |
| Fax: |
Provider Mailing Location
71 RIVIERA DR
SELDEN
NY
117841767
Provider Mailing Phone/Fax
| Phone: | 6316808470 |
| Fax: |