Individual
MS. IDELMIS A DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EXECUTIVE BLVD, YONKERS, NY 10701-6822
(914) 377-1858
(914) 376-9859
Mailing address
1 EXECUTIVE BLVD, YONKERS, NY 10701-6822
(914) 377-1858
(914) 376-9859
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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