Individual
DR. ALEJANDRO DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LCSW
Contact information
Practice address
68 MAIN ST, SUITE 340, TUCKAHOE, NY 10707
(914) 793-9719
Mailing address
25 GREENFIELD AVE, BRONXVILLE, NY 10708-2501
(914) 793-9719
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
062358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035180
BEACON HEALTH
NY
01
—
523977
VALUE OPTIONS
NY
01
—
BORITO
OPTUM
NY
Enumeration date
03/21/2019
Last updated
03/21/2019
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