Individual
MR. JERRY DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
173 1/2 CORTLANDT ST, SLEEPY HOLLOW, NY 10591
(914) 609-8646
Mailing address
173 1/2 CORTLANDT ST, SLEEPY HOLLOW, NY 10591
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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