Individual
ANGEL A. DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 PRE EMPTION RD STE 300, GENEVA, NY 14456-2061
(315) 787-5310
(315) 787-5314
Mailing address
821 PRE EMPTION RD STE 300, GENEVA, NY 14456-2061
(315) 787-5310
(315) 787-5314
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
205857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02146298
—
NY
Enumeration date
07/18/2006
Last updated
07/08/2007
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