National Provider Identifier

Paul Nicholas Dimiero, OTR

Paul Nicholas Dimiero, OTR is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-5016.

NPI 1861779415Fairport, NYPediatric Occupational Therapist

Profile Overview

NPI
1861779415
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
November 10, 2011
Last Updated
November 10, 2011

Practice Location

  • 28 S Village Trl
  • Fairport, NY 14450-4503

Phone: (585) 377-5016

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1861779415
Entity Type
Individual
Last Name
Dimiero
First Name
Paul
Middle Name
Nicholas
Name Prefix
Mr.
Credential
OTR
Mailing Street Address
28 S Village Trl
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-4503
Mailing Country
US
Mailing Phone
(585) 377-5016
Practice Street Address
28 S Village Trl
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-4503
Practice Country
US
Practice Phone
(585) 377-5016
Enumeration Date
November 10, 2011
Last Updated
November 10, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)