Provider Demographics
NPI:1760814339
Name:DIORIO, CAROL LEE (MS)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LEE
Last Name:DIORIO
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 1:5 GREY TRL
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-3448
Mailing Address - Country:US
Mailing Address - Phone:973-289-9461
Mailing Address - Fax:
Practice Address - Street 1:5 GREY TRL
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-3448
Practice Address - Country:US
Practice Address - Phone:973-289-9461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist