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Individual

ARCADIO C DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
329 E 149TH ST FL 4, BRONX, NY 10451-5626
(718) 769-2698
(844) 310-3344
Mailing address
329 E 149TH ST FL 4, BRONX, NY 10451-5626
(718) 769-2698
(844) 310-3344

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
900B
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NYS
LICENSE
Enumeration date
06/11/2020
Last updated
06/11/2020
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