C Diaz Clinical Practice Corp

NPI #1134665425 in Bronx, New York

Provider Information

NPI Number: 1134665425
Entity Type: Organization
Organization Name: C Diaz Clinical Practice Corp
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 11, 2017
Last Updated: Jan 11, 2017

Practice Location

Address: 3045 GODWIN TER APT 1D
City: Bronx
State: New York
ZIP Code: 10463-5341
Phone: (917) 573-9472

Authorized Official

Name: CLARIBEL A DIAZ, LCSW
Title: PRESIDENT
Phone: (917) 573-9472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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