Didio, Daryl P
Didio, Daryl P is an individual health care provider with primary practice located at 5225 46 Route 347 , Port Jefferson Station NY 11776. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Didio, Daryl P can be contacted via phone (631) 928-4635.Contact Information
Primary practice address
5225 46 Route 347
Port Jefferson Station NY 11776
Phone: (631) 928-4635
Fax: (631) 928-4784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | NYS005285 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY4814 | Florida |
Profile Details
| NPI number | 1225148323 |
|---|---|
| LBN Legal business name | Didio, Daryl P |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225148323 | NPPES |
| Other | 7333181002 | GHI | |
| Other | S052852B | GHI | |
| MEDICAID | 00647567 | GHI |
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