Organization
GENERAL DENTISTRY OF STATEN ISLAND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ANTHONY DIAZ DDS (OWNER DENTIST)
(718) 987-6453
Entity
Organization
Contact information
Practice address
2936 HYLAN BLVD, STATEN ISLAND, NY 10306-4056
(718) 987-6453
(718) 980-4588
Mailing address
2936 HYLAN BLVD, STATEN ISLAND, NY 10306-4056
(718) 987-6453
(718) 980-4588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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