Provider Demographics
NPI:1467488544
Name:PAROLISI, DINA MARIE (MS, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:MARIE
Last Name:PAROLISI
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11940 METROPOLITAN AVE
Mailing Address - Street 2:SUITE E1
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-2600
Mailing Address - Country:US
Mailing Address - Phone:718-849-0624
Mailing Address - Fax:
Practice Address - Street 1:11940 METROPOLITAN AVE
Practice Address - Street 2:SUITE E1
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-2600
Practice Address - Country:US
Practice Address - Phone:718-849-0624
Practice Address - Fax:718-849-4935
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002049-1231HA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01656IMedicare PIN