Healthcare Provider Details

I. General information

NPI: 1821531138
Provider Name (Legal Business Name): IRENE GIORDANO OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. IRENE DALLARIS

II. Dates (important events)

Enumeration Date: 11/18/2016
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554
US

V. Phone/Fax

Practice location:
  • Phone: 516-486-6862
  • Fax: 516-296-7376
Mailing address:
  • Phone: 516-486-6862
  • Fax: 516-296-7376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number019926
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: