Jorge A Diaz

NPI 1336396100 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1336396100
Gender Male
Enumeration Date 08/25/2008
Last Updated 08/25/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
25 CHAPEL ST
SUITE 901
BROOKLYN NY, 11201-1952, US
Phone (718) 398-0153
Fax (718) 623-2531
Business Location
25 CHAPEL ST
SUITE 901
BROOKLYN NY, 11201-1952, US
Phone (718) 398-0153
Fax (718) 623-2531
Toxanomy
Taxonomy Code 171M00000X
License State New York
License Number 11-2047151
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According to our database, Mr. Jorge A Diaz NPI is 1336396100, taxonomy code is 171M00000X and license number is 11-2047151, license state is located at New York. Jorge A Diaz physically located at 25 Chapel St, Brooklyn NY, 11201-1952. NPI Number Jorge A Diaz has the Individual type.

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1336396100 NPI number is provided on an as is basis without warranty of any kind. 1336396100 is maintained by the National Plan & Provider Enumeration System. The contents of Jorge A Diaz are for informational purposes only.