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NPI Code Detail

MEDICARE: RAQUEL DIAZ CASAC

MEDICARE: RAQUEL DIAZ CASAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor28461NY

General Provider Information

NPI Number : 1740131077
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAQUEL DIAZ CASAC
Provider Business Mailing Address
First Line : 1776 CLAY AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-7299
Country : US
Telephone Number : 718-960-7522
Fax Number : 718-583-6439
Provider Business Practice Location Address
First Line : 1776 CLAY AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-7299
Country : US
Telephone Number : 718-960-7522
Fax Number : 718-583-6439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ RAQUEL DIAZ CASAC” Practice Location

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