Individual
JUAN CARLOS DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 416-9102
(716) 551-0891
Mailing address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 416-9102
(716) 551-0891
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2011
Last updated
11/20/2025
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