Individual
MS. SAMANTHA MARIE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
313 MARYLAND AVE, MASSAPEQUA PARK, NY 11762-1310
(516) 477-8530
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433120
NY
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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