Provider Demographics
NPI:1346609658
Name:DIMAIO, SAMANTHA L (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:L
Last Name:DIMAIO
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:L
Other - Last Name:CLEMENTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CHT
Mailing Address - Street 1:1983 MARCUS AVE STE 119
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1016
Mailing Address - Country:US
Mailing Address - Phone:516-536-3800
Mailing Address - Fax:516-536-4588
Practice Address - Street 1:444 MERRICK RD STE 360
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2460
Practice Address - Country:US
Practice Address - Phone:516-536-3800
Practice Address - Fax:516-536-4588
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XH1200X
NY020308225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand