Individual
DIANA GISSELL DINZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
762 BRADY AVE, APT. 529, BRONX, NY 10462-2760
(646) 202-0176
Mailing address
762 BRADY AVE, APT. 529, BRONX, NY 10462-2760
(646) 202-0176
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/06/2011
Last updated
02/01/2015
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