Individual
MR. VICTOR DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(917) 280-8504
Mailing address
17 MILTON ST, TONAWANDA, NY 14150-3925
(917) 280-8504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
091510
NY
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/20/2017
Last updated
06/27/2025
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