Individual
DR. JOAQUIN DIAZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
87-08 JUSTICE AVE, SUITE CK, ELMHURST, NY 11373
(718) 899-0900
(718) 899-8118
Mailing address
87-08 JUSTICE AVE, SUITE CK, ELMHURST, NY 11373
(718) 899-0900
(718) 899-8118
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0046421
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020590
GHI
NY
05
—
01668762
—
NY
01
—
P50801
BCBS
NY
Enumeration date
10/18/2005
Last updated
08/05/2008
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