Orlando Diaz, SPECIAL EDUCATOR
Individual provider Active NPI Specialist · Bushkill, PA
NPI 1508129479 · NPPES record last updated Jun 16, 2012
Key facts
- NPI
- 1508129479
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 308 Shady CT
Bushkill, PA 18324-8611 - Phone
- (570) 807-3986
- NPI assigned
- Jun 16, 2012
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Yes |
Addresses
Primary practice location
308 Shady CT
Bushkill, PA 18324-8611
Mailing address
308 Shady CT
Bushkill, PA 18324-8611
Phone (570) 807-3986
Other providers in Bushkill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2012. 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.