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Individual

MS. CIBELES M DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2510 WESTCHESTER AVE, BRONX, NY 10461-3512
(718) 597-5558
Mailing address
3081 VILLA AVE APT 5F, BRONX, NY 10468-1321
(646) 345-1452

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
06/22/2012
Last updated
06/22/2012
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