Martinez Diaz, Elisamuel

Martinez Diaz, Elisamuel is an individual health care provider with primary practice located at 1065 Southern Blvd , Bronx NY 10459-2417. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martinez Diaz, Elisamuel can be contacted via phone (718) 589-2440.

Contact Information

Primary practice address
1065 Southern Blvd Bronx NY 10459-2417
Phone: (718) 589-2440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 024087 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2559 Puerto Rico

Profile Details

NPI number 1033173745
LBN Legal business name Martinez Diaz, Elisamuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Dec 10th, 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.

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