Desiree Diaz X

NPI #1053943498 in Melville, New York

Provider Information

NPI Number
1053943498
Entity Type
Individual
Name
Desiree Diaz X
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Feb 4, 2020
Last Updated
Feb 4, 2020

Practice Location

Address
225 BROADHOLLOW RD STE 402
ZIP Code
11747-4899
Phone
(631) 385-7780

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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