Individual
MR. ANTHONY JAMES DIAZ
Active
Individual
MR. ANTHONY JAMES DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
020582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021030201
UNIVERA
—
01
—
000625923003
COMMUNITY BLUE
—
01
—
000625923004
COMMUNITY BLUE
—
01
—
00210030201
UNIVERA
—
01
—
0205821
LICENSE
—
05
—
02243158
—
NY
01
—
040511000802
FIDELIS
—
01
—
205707500
ACS DOL
—
01
—
7362441
AETNA
—
01
—
9310818
INDEPENDENT HEALTH
—
01
—
P010020582
RIPA
—
Enumeration date
06/21/2006
Last updated
12/03/2009
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