Diaz, Desiree

Diaz, Desiree is an sole proprietor health care provider with primary practice located at 225 Broadhollow Rd Ste 402 , Melville NY 11747-4899. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Diaz, Desiree can be contacted via phone (631) 385-7780.

Contact Information

Primary practice address
225 Broadhollow Rd Ste 402 Melville NY 11747-4899
Fax: (631) 385-7795
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1053943498
LBN Legal business name Diaz, Desiree
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2020
Last updated Feb 4th, 2020 - about 5 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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