Individual
MR. MICHAEL A. DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC II
Contact information
Practice address
2015 MADISON AVE, NEW YORK, NY 10035-1015
(212) 690-4625
Mailing address
21 BARTELS PL APT 3, NEW ROCHELLE, NY 10801-6946
(914) 278-0999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21473
NY
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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