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NPI Code Detail

MEDICARE: DR. MARIA A. DIAS PH.D

MEDICARE:  DR. MARIA A. DIAS  PH.D
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
1101YM0800XMental Health Counselor000920-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10102789OTHERNYGHI-VALUE OPTIONS PIN#
2073544OTHERNYVALUE OPTIONS - LATHAM

General Provider Information

NPI Number : 1861514911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA A. DIAS PH.D
Provider Business Mailing Address
First Line : 28 N COUNTRY RD STE 101
Second Line :
City : MOUNT SINAI
State : NY
Zip : 11766-1518
Country : US
Telephone Number : 631-331-8547
Fax Number : 631-476-0728
Provider Business Practice Location Address
First Line : 28 N COUNTRY RD STE 101
Second Line :
City : MOUNT SINAI
State : NY
Zip : 11766-1518
Country : US
Telephone Number : 631-331-8547
Fax Number : 631-476-0728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. MARIA A. DIAS PH.D” Practice Location

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