MEDICARE: MRS. DANA MARIE DIORIO M.S.

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1093119851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA MARIE DIORIO M.S.

Provider Business Mailing Address
First Line	:	1703 E 34TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4222
Country	:	US
Telephone Number	:	347-539-2643
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 BEACH CHANNEL DR
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-2818
Country	:	US
Telephone Number	:	718-634-1970
Fax Number	:

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

Provider Enumeration Date	:	10/22/2014
Last Update Date	:	02/28/2016

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Directions to “ MRS. DANA MARIE DIORIO M.S.” Practice Location

Language	Start Address	Practice Location

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