Provider Demographics
NPI:1902607898
Name:KANHOYE, DIANA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:KANHOYE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22125 MANOR RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2027
Mailing Address - Country:US
Mailing Address - Phone:347-234-3700
Mailing Address - Fax:
Practice Address - Street 1:22125 MANOR RD UNIT 1
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2027
Practice Address - Country:US
Practice Address - Phone:347-234-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122525-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker