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Organization

CLASON POINT MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANGEL A DIAZ M.D. (OWNER)
(646) 884-4964
Entity
Organization

Contact information

Practice address
805B SOUNDVIEW AVE, BRONX, NY 10473-3900
(646) 884-4964
(347) 338-2792
Mailing address
805B SOUNDVIEW AVE, BRONX, NY 10473-3900
(646) 884-4964
(347) 338-2792

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
263664
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03439452
NY
Enumeration date
03/21/2014
Last updated
03/21/2014
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