NPI 1003290099

Carmen Diaz, MA

Practitioner Contractor Glendale, NY

Practice location

Address: 66-88 Myrtle Avenue, Glendale, NY 11385
Phone: (718) 850-0440
Mailing address: 6210 80th Rd, Glendale, NY 11385-6828

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1003290099
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2015
Record last updated: 20 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.