Provider Demographics
NPI:1508128620
Name:D'ISERNIA, VALERIE RIGIONE (MS)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:RIGIONE
Last Name:D'ISERNIA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAKAMAH RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-1336
Mailing Address - Country:US
Mailing Address - Phone:631-261-5212
Mailing Address - Fax:
Practice Address - Street 1:100 MAKAMAH RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-1336
Practice Address - Country:US
Practice Address - Phone:631-261-5212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY562270941174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY562270941OtherSPECIAL EDUCATION TEACHER