Individual
DR. CLAUDIA P. DIEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1090 AMSTERDAM AVE, 13TH FLOOR, NEW YORK, NY 10025-1737
(212) 744-8073
Mailing address
1090 AMSTERDAM AVE, 13TH FLOOR, NEW YORK, NY 10025-1737
(212) 744-8073
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300000187
MEDICARE PTAN
NY
Enumeration date
08/25/2008
Last updated
09/06/2009
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