Healthcare Provider Details

I. General information

NPI: 1184582165
Provider Name (Legal Business Name): DIANA MAYER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 W ALDER RD
BELLMORE NY
11710-4644
US

IV. Provider business mailing address

2751 W ALDER RD
BELLMORE NY
11710-4644
US

V. Phone/Fax

Practice location:
  • Phone: 516-587-1913
  • Fax:
Mailing address:
  • Phone: 516-587-1913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number030691-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: