Individual
DIANA ROSE DIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
764 MIDDLE COUNTRY RD, SELDEN, NY 11784-2503
(631) 760-7800
Mailing address
10 FENTON ST, MELVILLE, NY 11747-1318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
10/20/2023
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