Ardalis Diaz
NPI #1053674812 in Queens Village, New York
Provider Information
- NPI Number
- 1053674812
- Entity Type
- Individual
- Name
- Ardalis Diaz
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 18, 2012
- Last Updated
- Jun 18, 2012
Practice Location
- Address
- 9026 218TH PL
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-1337
- Phone
- (718) 264-7250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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