Diaz, Stacie S

Diaz, Stacie S is an sole proprietor health care provider with primary practice located at 17224 133Rd Ave Apt 11E , Jamaica NY 11434-3903. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Diaz, Stacie S can be contacted via phone (917) 400-1294.

Contact Information

Primary practice address
17224 133Rd Ave Apt 11E Jamaica NY 11434-3903
Phone: (917) 400-1294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 022590 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 022590 New York

Profile Details

NPI number 1215166830
LBN Legal business name Diaz, Stacie S
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2009
Last updated Feb 2nd, 2023 - about 3 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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