Most Relevant Information
Provider Data
| NPI Number: | 1003376310 |
| Provider Name: | MICHELLE ASHLEY DIAZ DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 213ES0103X |
| Specialty: | Podiatrist |
| License Number: | 007252 |
Most Important Dates
| Enumeration Date: | 03/22/2019 |
| Last Updated: | 08/05/2022 |
Provider Practice Location
1268 SAINT NICHOLAS AVE
NEW YORK
NY
100337202
Practice Location Phone/Fax
| Phone: | 6463490748 |
| Fax: |
Provider Mailing Location
1268 SAINT NICHOLAS AVE
NEW YORK
NY
100337202
Provider Mailing Phone/Fax
| Phone: | 6463490748 |
| Fax: |
Suggested EMR
Podiatry EMR