Individual
LUIS DANIEL DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 WELLNESS WAY STE 106, LATHAM, NY 12110-2156
(518) 980-9040
(518) 980-9041
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 783-3110
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
303957
NY
Other
Enumeration date
05/29/2013
Last updated
03/11/2024
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