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MS. MARISSA LYNN DIEMIDIO LPN
NPI 1700397486
Licensed Practical Nurse in Bohemia, NY

Active since October 20, 2017
1574 LOUIS KOSSUTH AVE, BOHEMIA, NY 11716(631) 241-7594 Get Directions Write a Review

NPPES record last updated: October 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Marissa Lynn Diemidio Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARISSA LYNN DIEMIDIO LPN (NPI 1700397486) is an individual licensed practical nurse in Bohemia, New York, licensed in New York (330041) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1700397486
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. MARISSA LYNN DIEMIDIOCredential: LPN
Location Address1574 LOUIS KOSSUTH AVEBohemia, NY 11716-1512
Mailing Address1574 Louis Kossuth AveBohemia, NY 11716-1512 · (631) 241-7594
Phone(631) 241-7594
Sole ProprietorYes
Enumeration DateOctober 20, 2017
✔ NPI 1700397486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 330041
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1574 LOUIS KOSSUTH AVE, Bohemia, NY 11716
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Diemidio's NPI number?

The NPI number for Marissa Diemidio is 1700397486. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Marissa Diemidio located?

Marissa Diemidio practices at 1574 Louis Kossuth Ave, Bohemia, NY 11716. The listed phone number is (631) 241-7594.

What is Marissa Diemidio's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Marissa Diemidio was last updated on October 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.