Individual
DR. LILLIAN IBETH DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1701
(718) 876-1762
(718) 876-3459
Mailing address
235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1701
(718) 876-1762
(718) 876-3459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
191927
NY
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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