Individual
MARY DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
552 6TH AVE, NEW YORK, NY 10011-2010
(212) 741-9288
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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