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Organization

ALEX DIAZ, LCSW, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEX DIAZ LCSW (PRESIDENT)
(914) 793-9719
Entity
Organization

Contact information

Practice address
65 MAIN ST, ROOM # 101, TUCKAHOE, NY 10707-2908
(914) 793-9719
Mailing address
25 GREENFIELD AVE, BRONXVILLE, NY 10708-2501
(914) 793-9719

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PR 062358-1
NY

Other

Enumeration date
11/15/2006
Last updated
05/13/2010
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