Individual
GABRIELA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4000
Mailing address
5 SILVERMINE LN, MONROE, CT 06468-1207
(203) 859-1987
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
07/17/2022
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