Most Relevant Information
Provider Data
| NPI Number: | 1003296047 |
| Provider Name: | YELIDAD DIAZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2015 |
| Last Updated: | 06/04/2015 |
Provider Practice Location
4 LORRAINE AVE
MOUNT VERNON
NY
105531222
Practice Location Phone/Fax
| Phone: | 9146637070 |
| Fax: | 9146637075 |
Provider Mailing Location
30 LENNON AVE
YONKERS
NY
107015914
Provider Mailing Phone/Fax
| Phone: | 3477212571 |
| Fax: |