Individual
DR. ALAN DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2494 WILLIAMSBRIDGE RD, BRONX, NY 10469-4806
(718) 652-1802
(718) 652-1889
Mailing address
2494 WILLIAMSBRIDGE RD, BRONX, NY 10469-4806
(718) 652-1802
(718) 652-1889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
188017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01725548
—
NY
Enumeration date
08/30/2006
Last updated
01/02/2010
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