SearchNew York174400000X

Dorisell Diaz

NPI 1013279579 · on the registry since 2012 · sole proprietor

Practice

Address
1469 Longfellow Ave
Bronx, NY 10460
Phone
(646) 319-0929
Fax
(718) 991-3591

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York