Diaz, Nicole Theresa

Diaz, Nicole Theresa is an individual health care provider with primary practice located at 26901 76Th Ave Room 173, New Hyde Park NY 11040-1433. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Diaz, Nicole Theresa can be contacted via phone (718) 470-3937.

Contact Information

Primary practice address
26901 76Th Ave Room 173 New Hyde Park NY 11040-1433
Phone: (718) 470-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 22 543334 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 38 382016 New York

Profile Details

NPI number 1962640961
LBN Legal business name Diaz, Nicole Theresa
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Apr 25th, 2016 - about 8 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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