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1427789502
YERISSA A DIAZ
BRONX, NY
NPI
1427789502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 10628)
Enumeration Date
2022-06-21
Last Update Date
2022-09-22
Business Address
YERISSA A DIAZ
1250 WATERS PLACE TOWERII
BRONX, NY 10467
Phone number: 718-920-7246
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Mailing Address
YERISSA A DIAZ
425 WOODSIDE AVE
BRIDGEPORT, CT 06606-2245
Phone number: 347-526-1408
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