Individual
DIANE MARLENE BESNACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6080 JERICHO TPKE, SUITE 200, COMMACK, NY 11725-2808
(631) 368-7770
(631) 864-7773
Mailing address
6080 JERICHO TPKE SUITE 200, ACCESS 7, COMMACK, NY 11725
(631) 368-7770
(631) 864-7773
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007152
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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