Individual
JASMINE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 E 146TH ST, BRONX, NY 10451-5720
(718) 585-0600
Mailing address
346 E 146TH ST, BRONX, NY 10451-5720
(718) 585-0600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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