Provider Demographics
NPI:1821531138
Name:GIORDANO, IRENE (OT)
Entity Type:Individual
Prefix:MRS
First Name:IRENE
Middle Name:
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:DALLARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2201 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:516-486-6862
Mailing Address - Fax:516-296-7376
Practice Address - Street 1:2201 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-486-6862
Practice Address - Fax:516-296-7376
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019926225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY019926OtherNYS LICENSE