Joshua Diaz
Individual provider Active NPI Occupational Therapist · Williston Park, NY
NPI 1083168397 · NPPES record last updated Aug 4, 2016
Key facts
- NPI
- 1083168397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 018883 (NY)
- Practice address
- 95 Custer Ave
Williston Park, NY 11596-2302 - Phone
- (516) 729-3353
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018883 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 018883 | NY | Yes |
Addresses
Primary practice location
95 Custer Ave
Williston Park, NY 11596-2302
Mailing address
95 Custer Ave
Williston Park, NY 11596-2302
Phone (516) 729-3353
Other providers in Williston Park, NY
- Joseph Vincent D'Auria
- Nicole Dantuono
- Maria Cristina Cristina David - Carrasco
- Henri-Robert Delbeau
- Hope Delane Demertzis
- Teresa Rosa Diblasi
- Maria I Dominguez
- Lauren M Dooley
- DRS. Seltzer and Rein
- Cindy Dubon
All providers in Williston Park, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.