Individual
KAYRA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 510-0379
Mailing address
666 W 188TH ST, NEW YORK, NY 10040-4411
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431805
NY
Other
Enumeration date
09/22/2020
Last updated
11/01/2020
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