Provider Demographics
NPI:1659819779
Name:LASHINSKY, DIANA BETH (OTR/:)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:BETH
Last Name:LASHINSKY
Suffix:
Gender:F
Credentials:OTR/:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 S DYRE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4208
Mailing Address - Country:US
Mailing Address - Phone:631-905-7603
Mailing Address - Fax:
Practice Address - Street 1:534 S DYRE AVE
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4208
Practice Address - Country:US
Practice Address - Phone:631-905-7603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021226-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist