Individual
MR. OSCAR O DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
3731 69TH ST, #1, WOODSIDE, NY 11377-2854
(718) 803-2007
(718) 803-0030
Mailing address
5914 58TH DR, #2, MASPETH, NY 11378-3210
(718) 326-2936
(718) 803-0030
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
002694
NY
Other
Enumeration date
05/05/2007
Last updated
07/09/2007
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