Individual
MRS. MARIA LINDA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
105 HAMILTON AVE, STATEN ISLAND, NY 10301-1610
(718) 764-2410
(917) 521-0983
Mailing address
105 HAMILTON AVE, STATEN ISLAND, NY 10301-1610
(718) 764-2410
(917) 521-0983
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245423
—
NY
Enumeration date
06/22/2011
Last updated
03/17/2018
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