Individual
DR. ELISAMUEL MARTINEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 DAVENPORT AVE BSMT, NEW ROCHELLE, NY 10805-3634
(787) 396-0975
Mailing address
10 DAVENPORT AVE BSMT, NEW ROCHELLE, NY 10805-3634
(787) 396-0975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024087
NY
103TC0700X
Clinical Psychologist
2559
PR
Other
Enumeration date
04/12/2006
Last updated
02/21/2025
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