Individual
LAURA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5630
Mailing address
6033 MONITOR PL, WEST NEW YORK, NJ 07093-3713
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431053
NY
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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