Thomas Drew Dimino | Staten Island, NY • PECOS Search

Thomas Drew Dimino

Counselor

Behavioral Health & Social Service Providers

900 South Ave Ste 300, Staten Island, NY 10314-3428

PECOS Enrollment

Based on the most recent information from CMS, provider Thomas Drew Dimino does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1881332989
Provider Type
Individual
Full Name
Dimino, Thomas Drew
Credential
LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/26/2022
Last Updated
9/4/2022

Contact Information

Practice Location

900 South Ave Ste 300, Staten Island, NY 10314-3428

Unlisted Fax

Mailing Location

900 South Ave Ste 300, Staten Island, NY 10314-3428

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer