Individual provider · Type 1 NPI

Rosely Diaz

Licensed Practical Nurse · Coram, NY

NPI number 1669330460 Active

Practice location

1505 Wincoram Way
Coram, NY 11727-4452

Call (631) 776-9347 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X354998 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1669330460

Rosely Diaz's National Provider Identifier is 1669330460, issued on Jan 12, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Coram, NY. The record was last updated on Jan 12, 2026.