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1568724334
KATELYN DIAZ
NEW YORK, NY
NPI
1568724334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: NY 1676482)
Enumeration Date
2012-06-08
Last Update Date
2012-06-08
Business Address
Ms. KATELYN DIAZ MSED
1301 5TH AVE
NEW YORK, NY 10029-3119
Phone number: 212-426-3400
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Mailing Address
Ms. KATELYN DIAZ MSED
645 W 239TH ST 3E
BRONX, NY 10463-1234
Phone number: 718-578-7019
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