Individual
ANIRA DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2795 RICHMOND AVE, STATEN ISLAND, NY 10314-5866
(718) 761-9800
Mailing address
65 BENNETT AVE, STATEN ISLAND, NY 10312-4018
(718) 404-4103
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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