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Individual
DR. YASELLYN DIAZ-VEGA
Active
Individual
DR. YASELLYN DIAZ-VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010954-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152836AN
PREFERRED CARE
NY
01
—
7697600
AETNA
NY
01
—
C10954-8W
WORKMEN'S COMPENSATION
NY
01
—
P010010954
BLUE CROSSBLUE SHIELD
NY
Enumeration date
02/09/2007
Last updated
07/09/2007
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