Individual
JOSE DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 1ST AVE, GREENBERG HALL, SUITE C-124, NEW YORK, NY 10016-6401
(646) 501-4266
Mailing address
545 1ST AVE, GREENBERG HALL, SUITE C-124, NEW YORK, NY 10016-6401
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
649797
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
430920
NY
Other
Enumeration date
11/18/2014
Last updated
11/01/2015
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