Most Relevant Information
Provider Data
| NPI Number: | 1003520917 |
| Provider Name: | DIANA ROSE DIEM |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/06/2023 |
| Last Updated: | 10/20/2023 |
Provider Practice Location
764 MIDDLE COUNTRY RD
SELDEN
NY
117842503
Practice Location Phone/Fax
| Phone: | 6317607800 |
| Fax: |
Provider Mailing Location
10 FENTON ST
MELVILLE
NY
117471318
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |