Diana Bosinski
Individual provider Active NPI Physical Therapy Assistant · Deer Park, NY
NPI 1447869409 · NPPES record last updated Jul 27, 2020
Key facts
- NPI
- 1447869409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 011552-1 (NY)
- Practice address
- 84 W 13TH St
Deer Park, NY 11729-4018 - Phone
- (917) 592-8955
- NPI assigned
- Jul 27, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011552-1 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 011552-1 | NY | Yes |
Addresses
Primary practice location
84 W 13TH St
Deer Park, NY 11729-4018
Mailing address
84 W 13TH St
Deer Park, NY 11729-4018
Other providers in Deer Park, NY
- Tamara Lynnette Bolton
- Jennifer Bonilla
- Lizzette Bonilla
- Scott Christopher Bonner
- Robert Anthony Borruso
- Lourdes Marie Boursiquot
- Elaine Elizabeth Bova
- Lauren E Bovelle
- Dennis Boyle
- Jacqueline Bracht
All providers in Deer Park, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.