Individual
MARIA DIAZ MONERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4036 JUNCTION BLVD, CORONA, NY 11368-2122
(718) 899-4302
Mailing address
4036 JUNCTION BLVD, CORONA, NY 11368-2122
(718) 899-4302
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
195415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01621392
—
NY
Enumeration date
12/11/2006
Last updated
07/08/2007
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