Individual
DR. DARYL P DIDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5225 46 ROUTE 347, PORT JEFFERSON STATION, NY 11776
(631) 928-4635
(631) 928-4784
Mailing address
5225 46 ROUTE 347, PORT JEFFERSON STATION, NY 11776
(631) 928-4635
(631) 928-4784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NYS005285
NY
103TC0700X
Clinical Psychologist
PY4814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00647567
—
NY
01
—
7333181002
GHI
—
01
—
S052852B
WORKERS COMP
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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