Healthcare Provider Details

I. General information

NPI: 1407709769
Provider Name (Legal Business Name): MISS ALAINA DIMARIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 KETTLE KNOLL PATH
MILLER PLACE NY
11764-2115
US

IV. Provider business mailing address

18 KETTLE KNOLL PATH
MILLER PLACE NY
11764-2115
US

V. Phone/Fax

Practice location:
  • Phone: 631-384-0292
  • Fax:
Mailing address:
  • Phone: 516-329-6387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: