| Organization Name: | ALEX DIAZ, LCSW, P.C. |
| NPI Number: | 1477626844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEX DIAZ (PRESIDENT) |
| Mailing Address: | 65 Main St Room # 101 Tuckahoe |
| State: | NY US |
| Postal Code: | 107072908 |
| Phone Number: | 9147939719 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 05/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | PR 062358-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |