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Individual

ANGELA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22 SKIDMORE PL, VALLEY STREAM, NY 11581-2918
(646) 552-9015
Mailing address
22 SKIDMORE PL, VALLEY STREAM, NY 11581-2918

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
252Y00000X
Early Intervention Provider Agency

Other

Enumeration date
09/04/2018
Last updated
01/22/2024
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