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Deactivated NPI 1932392420 Deactivated / Inactive NPI Male Practitioner

David Leonard Diliello , LPN

Licensed Practical Nurse • Tully, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Diliello has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2007
NPI Deactivation Date October 15, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

David Diliello, LPN was a registered Licensed Practical Nurse practicing in Tully, NY. Throughout an active medical career spanning 13 years, David Diliello provided care at the practice location at 560 STRONG RD until profile deactivation on 2020-10-15.

Practice Location & Contact Primary Location

Practice Address

560 Strong Rd

Tully, NY 131590000

Telephone 3155605136

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tully, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Tully, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 161794 1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 15, 2020

Record deactivated on October 15, 2020

NPI Profile Active August 20, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 20, 2007

Registered at 560 STRONG RD, TULLY, NY 131590000 (Tel: 3155605136)

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Updated Business Mailing Address August 20, 2007

Registered at 560 STRONG RD, TULLY, NY 131590000 (Tel: 3155605136)

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Provider Name / Credentials Updated August 20, 2007

Recorded as DAVID DILIELLO, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2007

Licensed Practical Nurse (License #161794 1 in NY)

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Initial NPI Registration & Enumeration August 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932392420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2007
Last Update: August 20, 2007
Deactivation Date: October 15, 2020

Mailing Address

560 Strong Rd

Tully, NY 131590000

Phone: 3155605136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.