Individual
DR. GERALDINE C. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
Mailing address
450 CLARKSON AVE STE 6, BROOKLYN, NY 11203-2012
(718) 270-2331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036126434
IL
207L00000X
Anesthesiology Physician
Primary
225683
NY
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036126434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z120519
MEDICARE
AZ
Enumeration date
11/13/2006
Last updated
01/30/2026
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