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Contact Information

PURA VASQUEZ DIAZ
120 HIGHLAND AVE
MIDDLETOWN, NY10940
 Phone: 845-342-1033
 Fax: 845-344-5631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PURA VASQUEZ DIAZ · (Female)

NPI # 1356624159
Status Active
Credentials
Entity Individual
Enumeration date 09/28/2011
Last updated 09/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F335491-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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