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1912634379
SAMANTHA LOUISE DIAZ
NEW YORK, NY
NPI
1912634379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 028642)
Enumeration Date
2022-08-05
Last Update Date
2022-08-05
Business Address
SAMANTHA LOUISE DIAZ PA-C
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-4141
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Mailing Address
SAMANTHA LOUISE DIAZ PA-C
15 HAWTHORNE ST APT 1B
BROOKLYN, NY 11225-5744
Phone number: 615-478-9742
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