Andrea Guadalupe Diaz | White Plains, NY • PECOS Search

Andrea Guadalupe Diaz

Social Worker

Behavioral Health & Social Service Providers

19 Greenridge Ave, White Plains, NY 10605-1201

(914) 949-7680 (914) 330-3690

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea Guadalupe Diaz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1497344907
Provider Type
Individual
Full Name
Diaz, Andrea Guadalupe
Title
Mrs.
Credential
LMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/11/2021
Last Updated
1/11/2021

Contact Information

Practice Location

19 Greenridge Ave, White Plains, NY 10605-1201

Unlisted Fax

Mailing Location

689 Long Pond Rd, Mahopac, NY 10541-3339

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 106220 New York