Provider Demographics
NPI:1407113863
Name:PATRONE, DAIANA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:DAIANA
Middle Name:
Last Name:PATRONE
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 AUDUBON AVE
Mailing Address - Street 2:2I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-4229
Mailing Address - Country:US
Mailing Address - Phone:212-928-0426
Mailing Address - Fax:
Practice Address - Street 1:301 AUDUBON AVE
Practice Address - Street 2:2I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-4229
Practice Address - Country:US
Practice Address - Phone:212-928-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017304225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist