Individual
CORINA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 SEAMAN AVE APT A5, NEW YORK, NY 10034-1207
(646) 240-8108
Mailing address
260 SEAMAN AVE APT A5, NEW YORK, NY 10034-1207
(646) 240-8108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P123188
NY
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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