Individual
MS. CRYSTAL LYNN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
60 E 104TH ST, 3C, NEW YORK, NY 10029-4524
(212) 933-0820
Mailing address
340 BEACH 102ND STREET, ROCKAWAY PARK, NY 11694
(570) 856-5953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
007835-1
NY
225X00000X
Occupational Therapist
Primary
021885
NY
Other
Enumeration date
04/13/2011
Last updated
09/13/2017
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