Provider Demographics
NPI:1588818116
Name:DIIORIO, ANNETTE MARIE (MA OTR/L)
Entity type:Individual
Prefix:MS
First Name:ANNETTE
Middle Name:MARIE
Last Name:DIIORIO
Suffix:
Gender:F
Credentials:MA OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CUMMING ST APT 4D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-4832
Mailing Address - Country:US
Mailing Address - Phone:347-200-9104
Mailing Address - Fax:
Practice Address - Street 1:19 CUMMING ST APT 4D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-4832
Practice Address - Country:US
Practice Address - Phone:347-200-9104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009581-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics