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1750001475
DARRIEN NICOLE DIAZ
EAST SETAUKET, NY
NPI
1750001475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 013349-01)
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
DARRIEN NICOLE DIAZ PTA
14 RESEARCH WAY
EAST SETAUKET, NY 11733-3453
Phone number: 631-331-6400
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Mailing Address
DARRIEN NICOLE DIAZ PTA
1 PARK AVE
SHIRLEY, NY 11967-2311
Phone number: 631-578-8984
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