| Doctor Name: | DIANE YACONO |
| NPI Number: | 1013939933 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NN07015600 |
| Business Practice Address: | 901 W Main St Freehold, NJ - 077282537 |
| Business Phone Number: | 7322942674 |
| Business Fax Number: | 7327618084 |
| Mailing Address: | 2 Navajo Rd, MANALAPAN |
| State: | NJ |
| Postal Code: | 077264617 |
| Phone Number: | 7324466358 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NN07015600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |