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Individual

ARLENE L DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1 DAKOTA DR, NEW HYDE PARK, NY 11042-1135
(516) 622-6000
Mailing address
12504 18TH AVE, COLLEGE POINT, NY 11356-2304
(917) 418-0111

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342575
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279233800
FL
Enumeration date
03/01/2018
Last updated
04/17/2019
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