Organization
C DIAZ CLINICAL PRACTICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARIBEL A DIAZ LCSW (PRESIDENT)
(917) 573-9472
Entity
Organization
Contact information
Practice address
3045 GODWIN TER APT 1D, BRONX, NY 10463-5341
(917) 573-9472
Mailing address
3045 GODWIN TER APT 1D, BRONX, NY 10463-5341
(917) 573-9472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
082856
NY
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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