Provider Demographics
NPI:1174506927
Name:DIORIO, MIRIAM (AUD, MS)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:
Last Name:DIORIO
Suffix:
Gender:F
Credentials:AUD, MS
Other - Prefix:
Other - First Name:MIRIAM
Other - Middle Name:
Other - Last Name:ROMERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:41-16 249TH STREET
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11363
Mailing Address - Country:US
Mailing Address - Phone:516-721-2868
Mailing Address - Fax:
Practice Address - Street 1:160 WEST 18TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-366-0848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001982231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist