Provider Demographics
NPI:1821323411
Name:DIORIO, CHRISTINE (PT,GCS,CEEAA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:DIORIO
Suffix:
Gender:F
Credentials:PT,GCS,CEEAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13206-1644
Mailing Address - Country:US
Mailing Address - Phone:315-440-5953
Mailing Address - Fax:315-476-9694
Practice Address - Street 1:907 NORTH AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13206-1644
Practice Address - Country:US
Practice Address - Phone:315-440-5953
Practice Address - Fax:315-476-9694
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400008202Medicare UPIN