Individual
DR. CHANELLE MONIQUE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
534 W 135TH ST, NEW YORK, NY 10031-8644
(212) 491-2300
(212) 491-2323
Mailing address
534 W 135TH ST, NEW YORK, NY 10031-8644
(212) 491-2300
(212) 491-2323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
298056
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2016
Last updated
09/11/2023
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