Provider Demographics
NPI:1831460674
Name:BESNACI, DIANE MARLENE (BS)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:MARLENE
Last Name:BESNACI
Suffix:
Gender:F
Credentials:BS
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Other - First Name:
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Mailing Address - Street 1:6080 JERICHO TPKE SUITE 200
Mailing Address - Street 2:ACCESS 7
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-368-7770
Mailing Address - Fax:631-864-7773
Practice Address - Street 1:6080 JERICHO TPKE
Practice Address - Street 2:SUITE 200
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2808
Practice Address - Country:US
Practice Address - Phone:631-368-7770
Practice Address - Fax:631-864-7773
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY007152224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant