Individual
GUILLERMO DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-P
Contact information
Practice address
185 W JOHN ST # 113, HICKSVILLE, NY 11801-1007
(646) 856-9971
(516) 531-8539
Mailing address
185 W JOHN ST # 113, HICKSVILLE, NY 11801-1007
(646) 856-9971
(516) 531-8539
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402068
NY
Other
Enumeration date
07/29/2016
Last updated
09/05/2025
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