Individual
MS. MAUREEN E DIMAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC T
Contact information
Practice address
4271 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5708
(516) 520-6600
Mailing address
4271 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5708
(516) 520-6600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25212
CASAC T
NY
Enumeration date
01/22/2013
Last updated
01/22/2013
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