Provider Demographics
NPI:1699073742
Name:DIPALO, JOSEPH M (MS)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:M
Last Name:DIPALO
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14502 FARMERS BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-5024
Mailing Address - Country:US
Mailing Address - Phone:718-527-5220
Mailing Address - Fax:718-527-6394
Practice Address - Street 1:14502 FARMERS BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-5024
Practice Address - Country:US
Practice Address - Phone:718-527-5220
Practice Address - Fax:718-527-6394
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool