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General NPI Number Information
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NPI Number | 1033005277
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Entity Type | Individual
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Provider Name | DAYANNA EUNICE DIAZ MS, CF-SLP, TSSLD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 115 CONTINUUM DR STE 1A
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City | LIVERPOOL
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State | NY
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Zip | 13088-4387
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Country | US
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Telephone | 315-450-4898
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Fax | 315-449-9898
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Provider Business Mailing Address
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Address Line | 3777 RIVERS POINTE WAY APT 24
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City | LIVERPOOL
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State | NY
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Zip | 13090-4949
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Country | US
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Telephone | 301-433-1394
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NY
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