Individual
MICHELLE ASHLEY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1268 SAINT NICHOLAS AVE, NEW YORK, NY 10033-7202
(646) 349-0748
Mailing address
1268 SAINT NICHOLAS AVE, NEW YORK, NY 10033-7202
(646) 349-0748
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
007252
NY
Other
Enumeration date
03/22/2019
Last updated
08/05/2022
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