Individual
JOSEPHINE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
1541 WILLIAMSBRIDGE RD APT 4J, BRONX, NY 10461-6219
(646) 797-7535
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
795224
NY
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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