Doctor Name: | MRS. LAURA DIMEGLIO-MARI |
NPI Number: | 1386988772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 25141 71st Rd Bellerose, NY - 114262736 |
Business Phone Number: | 5166583142 |
Business Fax Number: | |
Mailing Address: | 251-41 71st Road, BELLEROSE |
State: | NY |
Postal Code: | 114262736 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |