Individual
MRS. CATHERINE MARY DIMARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
252 ISLIP AVE, ISLIP, NY 11751-3029
(631) 581-6800
Mailing address
4 RITA CRES, COMMACK, NY 11725-5218
(631) 543-5930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019746
NY
252Y00000X
Early Intervention Provider Agency
019746
NY
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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