Active NPIIndividual provider

Dr. Elisamuel Martinez Diaz

Psychologist, Clinical in New Rochelle, New York

NPI Number1033173745
Practice location
10 Davenport Ave Bsmt, New Rochelle, NY 10805-3634
Fax
—
Last updated
February 21, 2025

Elisamuel Martinez Diaz is a Psychologist, Clinical based in New Rochelle, NY. Elisamuel Martinez Diaz practices in New Rochelle, NY. The NPI Number for Elisamuel Martinez Diaz is 1033173745 and holds a License No. 2559 (PR). The current practice location address for Elisamuel Martinez Diaz is 10 Davenport Ave Bsmt, New Rochelle, NY 10805-3634 and can be reached out via phone at 787-396-0975.

Provider Profile Details

NPI Number
1033173745
Provider Name
Elisamuel Martinez Diaz
Provider Entity Type
Individual
Gender
Male
Address
10 Davenport Ave Bsmt, New Rochelle, NY 10805-3634
Phone Number
787-396-0975
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2006
Last Update Date
February 21, 2025
Certification Date
February 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Davenport Ave Bsmt
New Rochelle, NY 10805-3634
Zip
10805-3634
Phone Number
787-396-0975
New Rochelle, NY 10805Get directions →

Provider Business Mailing Address Details

Address
10 Davenport Ave Bsmt
New Rochelle, NY 10805-3634
City
New Rochelle
State
NY
Zip
10805-3634
Phone Number
787-396-0975

License Information

License Number (1)
2559
License State (1)
PR
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
024087
License State (2)
NY
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elisamuel Martinez Diaz?

The NPI number of Dr. Elisamuel Martinez Diaz is 1033173745. It was assigned on April 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Elisamuel Martinez Diaz?

Dr. Elisamuel Martinez Diaz is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PR under license number 2559.

Where does Dr. Elisamuel Martinez Diaz practice?

The practice location is 10 Davenport Ave Bsmt, New Rochelle, NY 10805-3634. The office can be reached at 787-396-0975 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033173745 directly on the NPPES registry website.

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