Provider Demographics
NPI:1174864797
Name:DI LIELLO, SALVATORE (ND)
Entity type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:
Last Name:DI LIELLO
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 CORNERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-2712
Mailing Address - Country:US
Mailing Address - Phone:330-719-0598
Mailing Address - Fax:
Practice Address - Street 1:983 NILES CORTLAND RD SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2555
Practice Address - Country:US
Practice Address - Phone:330-719-0598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-06
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171M00000XOther Service ProvidersCase Manager/Care Coordinator