Individual
DANIELA CRISTINA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 MAIN ST, BREWSTER, NY 10509-1521
(845) 279-6999
(845) 279-0908
Mailing address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 941-1263
(914) 941-8626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
279079
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04195740
—
NY
Enumeration date
04/05/2012
Last updated
02/08/2016
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