Individual
MS. DIANE MENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ATR-BC
Contact information
Practice address
21333 39TH AVE, SUITE 240, BAYSIDE, NY 11361
(347) 251-6387
Mailing address
715 162ND ST, #6D, WHITESTONE, NY 11357-2043
(347) 251-6387
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001108
NY
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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