Organization
MICHAEL DIAZ M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DIAZ M.D. (OWNER)
212228764500
Entity
Organization
Contact information
Practice address
1112 PARK AVE, NEW YORK, NY 10128-1235
(212) 876-4500
(212) 831-6185
Mailing address
1112 PARK AVE, NEW YORK, NY 10128-1235
(212) 876-4500
(212) 831-6185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
114488
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00822931
—
NY
Enumeration date
04/04/2008
Last updated
04/04/2008
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