MEDICARE: DILAYLA HIDALGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PO18710	NC

General Provider Information

NPI Number	:	1073311148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DILAYLA HIDALGO

Provider Business Mailing Address
First Line	:	332 GENOA LN
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-5402
Country	:	US
Telephone Number	:	516-304-6757
Fax Number	:

Provider Business Practice Location Address
First Line	:	332 GENOA LN
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-5402
Country	:	US
Telephone Number	:	516-304-6757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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Directions to “ DILAYLA HIDALGO ” Practice Location

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