Diaz, Bertha
Diaz, Bertha is an sole proprietor health care provider with primary practice located at 317 North St , White Plains NY 10605-2209. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Diaz, Bertha can be contacted via phone (914) 597-4109.Contact Information
Primary practice address
317 North St
White Plains NY 10605-2209
Phone: (914) 597-4109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1679142087 |
|---|---|
| LBN Legal business name | Diaz, Bertha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2021 |
| Last updated | Jun 21st, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679142087 | NPPES |
| Other | 958 | PHYSICAL AND EMOTIONAL |
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