Individual
MRS. MELANIE MARIE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7852
(718) 470-4304
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-7852
(718) 470-4304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
457603
NY
363L00000X
Nurse Practitioner
Primary
F304150
NY
Other
Enumeration date
03/26/2007
Last updated
10/08/2010
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