Individual
ALEXIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
20 HALLETTS PT APT 904, ASTORIA, NY 11102-5092
(909) 685-1530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
036371
NY
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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