Individual ProviderKrista DiasoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address150 Bayview Ave, Port Early Childhood And Family Therapy, Port Washington, NY 11050-3620(516) 405-0810PECOS EnrollmentBased on the most recent information from CMS, provider Krista Diaso does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316217508Provider TypeIndividualFull NameDiaso, KristaCredentialLCSW-RGenderFemaleSole ProprietorYesEnumeration Date1/5/2012Last Updated1/8/2014Contact InformationPractice LocationPractice Address150 Bayview Ave, Port Early Childhood And Family Therapy, Port Washington, NY 11050-3620Phone(516) 405-0810FaxUnlisted FaxMailing LocationMailing Address150 Bayview Ave, Port Early Childhood And Family Therapy, Port Washington, NY 11050-3620Phone(516) 405-0810FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense075312-1New York