Individual
ELLIOT J DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 HAMILTON ST, STATEN ISLAND, NY 10304-1810
(718) 815-6258
Mailing address
33 HAMILTON ST, STATEN ISLAND, NY 10304-1810
(718) 815-6258
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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