Individual
MRS. LOURDES G DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SC
Contact information
Practice address
535 8TH AVE, 2ND FLOOR, NEW YORK, NY 10018-4305
(212) 787-9700
(212) 787-4418
Mailing address
535 8TH AVE, 2ND FLOOR, NEW YORK, NY 10018-4305
(212) 787-9700
(212) 787-4418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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