Agnese Diaz, Dawn Marie
Agnese Diaz, Dawn Marie is an sole proprietor health care provider with primary practice located at 137 Foster Rd , Lake Ronkonkoma NY 11779-4310. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Agnese Diaz, Dawn Marie can be contacted via phone (631) 588-0104.Contact Information
Primary practice address
137 Foster Rd
Lake Ronkonkoma NY 11779-4310
Phone: (631) 588-0104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 020827 | New York |
Profile Details
| NPI number | 1679774921 |
|---|---|
| LBN Legal business name | Agnese Diaz, Dawn Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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