Individual
ASHLEY PENNY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 W 147TH ST APT 16H, NEW YORK, NY 10039-4340
(718) 902-0006
Mailing address
129 W 147TH ST APT 16H, NEW YORK, NY 10039-4340
(718) 902-0006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116459
NY
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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