Carmen Diaz, M.A.

NPI #1003290099 in Glendale, New York

Provider Information

NPI Number: 1003290099
Entity Type: Individual
Name: Carmen Diaz, M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: M.A.
Enumeration Date: Jul 20, 2015
Last Updated: Jul 20, 2015

Practice Location

Address: 66-88 MYRTLE AVENUE
City: Glendale
State: New York
ZIP Code: 11385
Phone: (718) 850-0440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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