Individual
AWILDA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
332 E 30TH ST, NEW YORK, NY 10016-8327
(212) 779-3988
Mailing address
332 E 30TH ST, NEW YORK, NY 10016-8327
(212) 779-3988
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310233-01
NY
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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