Individual
YIRA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 CLUNIE AVE APT 2, YONKERS, NY 10703-1001
(917) 640-1282
Mailing address
115 CLUNIE AVE APT 2, YONKERS, NY 10703-1001
(917) 640-1282
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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