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NPI Code Detail

MEDICARE: MRS. DIANE DICULESCU MS, CCC-SLP, TSSLD

MEDICARE: MRS. DIANE DICULESCU MS, CCC-SLP, TSSLD
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
1235Z00000XSpeech-Language Pathologist016944NY

General Provider Information

NPI Number : 1255586723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE DICULESCU MS, CCC-SLP, TSSLD
Provider Business Mailing Address
First Line : 1834 MIDLAND DR
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-5024
Country : US
Telephone Number : 917-335-7409
Fax Number :
Provider Business Practice Location Address
First Line : 1834 MIDLAND DR
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-5024
Country : US
Telephone Number : 917-335-7409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2008
Last Update Date : 11/24/2008

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