Provider Demographics
NPI:1558916916
Name:DINOME, EMILY JOANNE (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JOANNE
Last Name:DINOME
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:JOANNE
Other - Last Name:KUBASEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 GLENEIDA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-1008
Mailing Address - Country:US
Mailing Address - Phone:914-438-9566
Mailing Address - Fax:
Practice Address - Street 1:125 GLENEIDA RIDGE RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-1008
Practice Address - Country:US
Practice Address - Phone:914-438-9566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010111224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant