Individual
DAVID F DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3046 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2816
(718) 424-6191
(212) 896-6530
Mailing address
148 BLEECKER ST APT 2E, BROOKLYN, NY 11221-8134
(347) 387-8663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0091961
NY
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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