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Individual
MR. MARK ANTHONY DIAZ
Active
Individual
MR. MARK ANTHONY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021050-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1165953
MULTIPLAN
NY
01
—
124290P
HIP # LEVITTOWN
NY
01
—
127979
VYTRA
NY
01
—
191315P
HIP # EAST MEADOW
NY
01
—
2066214
UNITED HEALTH CARE
NY
01
—
2134141
VYTRA # EAST MEADOW
NY
01
—
354958200
DEPARTMENT OF LABOR
NY
01
—
412155P
HIP PRIS# FR.SQ
NY
01
—
6401276
UHC GOVERNMENT PLAN
NY
01
—
650024429
RAILROAD MEDICARE
NY
01
—
6697222
GHI # EAST MEADOW
NY
01
—
6698676
GHI
NY
01
—
825664
MPN # LEVITTOWN
NY
01
—
P3560062
OXFORD # EAST MEADOW
NY
01
—
Q13C21
EMPIRE BCBS # LEVITTOWN
NY
01
—
Q18V11
EMPIRE BCBS
NY
01
—
QC5721
EMPIRE BCBS
NY
Enumeration date
11/07/2005
Last updated
01/10/2012
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