Samantha Diaz

NPI #1841716180 in Stony Point, New York

Provider Information

NPI Number: 1841716180
Entity Type: Individual
Name: Samantha Diaz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 18, 2017
Last Updated: Aug 18, 2017

Practice Location

Address: 16 HUDSON AVE
City: Stony Point
State: New York
ZIP Code: 10980-1633
Phone: (917) 257-6134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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