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1053943498
DESIREE DIAZ
MELVILLE, NY
NPI
1053943498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
DESIREE DIAZ
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
DESIREE DIAZ
7000 AUSTIN ST
FOREST HILLS, NY 11375-1022
Phone number:
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