| Doctor Name: | MS. GEORGIA M. DIAKOS |
| NPI Number: | 1720143472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,PMHCNS-BC, APN, C |
| License Number: | 7883494 |
| Business Practice Address: | 186 Paterson Ave Suite 304 East Rutherford, NJ - 070731837 |
| Business Phone Number: | 2013946219 |
| Business Fax Number: | |
| Mailing Address: | 186 Paterson Ave, Suite 304 EAST RUTHERFORD |
| State: | NJ |
| Postal Code: | 070731837 |
| Phone Number: | 2013946219 |
| Fax Number: | |
| NPI Enumeration Date: | 12/23/2006 |
| NPI Last Update Date: | 02/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 7883494 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |