NPI 1447685276 · live from the CMS NPI Registry
Diane Marie Aly, PA-C
Physician Assistant in New York, NY. National Provider Identifier 1447685276, active.
NPI record
| NPI | 1447685276 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 630 W 168th St, New York, NY 10032 |
| Practice phone | 212-305-2862 |
| Mailing address | 485 Monroe Avenue, Washington Twp, NJ 07676 |
| Enumerated | September 11, 2013 |
| Last updated | November 12, 2019 |
| Sole proprietor | No |
| Other names | Diane Demartino |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 016933 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.