Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Diane Marie Russo, OTR/L

Individual provider Occupational Therapist · NPI 1467699868

MS. Diane Marie Russo, OTR/L is an Occupational Therapist in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

36 Violet Ave
Mineola, NY 11501-4624
Phone: (516) 742-8138
Fax: (516) 742-8138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 002521-1 (NY)

Record details

NPI number1467699868
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJanuary 7, 2009

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