Organization
ADIS J.DIAZ,O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADIS J DIAZ O.D. (OPTOMETRIST/OWNER)
(917) 312-3726
Entity
Organization
Contact information
Practice address
3850 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1303
(516) 731-9604
Mailing address
99 DIAMOND AVE, EAST MEADOW, NY 11554-3402
(917) 312-3726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007172
NY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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