Individual
MS. AMY E DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, EDUCATION
Contact information
Practice address
13 JUSTIN CT, CORTLANDT MANOR, NY 10567-5236
(914) 760-1114
Mailing address
13 JUSTIN CT, CORTLANDT MANOR, NY 10567-5236
(914) 760-1114
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1015536161
NY
174400000X
Specialist
1015579161
NY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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