MILES DONALD DIEVERT

BROOKLYN, NY
NPI1902759301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2026-02-17
Last Update Date2026-02-17
Business Address
MILES DONALD DIEVERT
475 E 57TH ST
BROOKLYN, NY 11203-6010
Phone number: 718-451-5213
Mailing Address
MILES DONALD DIEVERT
217 BURNS ST FL 3
FOREST HILLS, NY 11375-6127
Phone number: 718-451-5213