Desiree Diaz X
Desiree Diaz X is an Early Intervention Provider Agency in Melville, New York. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
225 Broadhollow Rd Ste 402Melville, NY 11747-4899
Phone: (631) 385-7780
Fax: (631) 385-7795
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1053943498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 4, 2020 |
| Last updated in NPPES | February 4, 2020 |
| Certification date | February 4, 2020 |
| Mailing address | 7000 Austin St, Forest Hills, NY 11375-1022 |
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