Provider Demographics
NPI:1255586723
Name:DICULESCU, DIANE (MS, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:
Last Name:DICULESCU
Suffix:
Gender:F
Credentials:MS, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 MIDLAND DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-5024
Mailing Address - Country:US
Mailing Address - Phone:917-335-7409
Mailing Address - Fax:
Practice Address - Street 1:1834 MIDLAND DR
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-5024
Practice Address - Country:US
Practice Address - Phone:917-335-7409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016944235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist