Most Relevant Information
Provider Data
| NPI Number: | 1003221326 |
| Provider Name: | DIANE YACIUK RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC1500X |
| Specialty: | Registered Nurse |
| License Number: | 481275 |
Most Important Dates
| Enumeration Date: | 06/25/2014 |
| Last Updated: | 06/25/2014 |
Provider Practice Location
301 N WASHINGTON ST STE 2300
HERKIMER
NY
133501299
Practice Location Phone/Fax
| Phone: | 3158671176 |
| Fax: | 3158671612 |
Provider Mailing Location
301 N WASHINGTON ST STE 2300
HERKIMER
NY
133501299
Provider Mailing Phone/Fax
| Phone: | 3158671176 |
| Fax: | 3158671612 |