Provider Demographics
NPI:1689081051
Name:DIMAGGIO, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:DIMAGGIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 MAXWELL DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4802
Mailing Address - Country:US
Mailing Address - Phone:914-557-3342
Mailing Address - Fax:
Practice Address - Street 1:1651 MAXWELL DR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4802
Practice Address - Country:US
Practice Address - Phone:914-557-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)