Individual
AMOS M DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 HAMILTON AVE, MONTICELLO, NY 12701-1378
(845) 397-7101
(845) 428-7815
Mailing address
446 ACORN HILL RD, OLIVEBRIDGE, NY 12461-5440
(845) 663-4008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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