Individual
DIANE DASILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DAKOTA DR STE 200, NEW HYDE PARK, NY 11042-1109
(646) 789-1157
(631) 752-0536
Mailing address
322 COOLIDGE AVE, MINEOLA, NY 11501-1305
(516) 850-1392
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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