Individual
DAIANA ALTAGRACIA MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
5676 RIVERDALE AVE STE 201, BRONX, NY 10471-2100
(718) 796-5300
(718) 548-1161
Mailing address
5676 RIVERDALE AVE STE 201, BRONX, NY 10471-2100
(718) 796-5300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28719
NY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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