Individual
ALYSSA HOPE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
403 E 34TH ST, NEW YORK, NY 10016-4907
(212) 263-3165
Mailing address
317 E 34TH ST, NEW YORK, NY 10016-4974
(212) 263-8134
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431817-01
NY
Other
Enumeration date
09/28/2020
Last updated
07/30/2021
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