Organization
EAST HUDSON PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGUSTIN DIAZ MD (PRESIDENT)
(201) 863-2620
Entity
Organization
Contact information
Practice address
433 57TH ST, WEST NEW YORK, NJ 07093-2119
(201) 863-2620
(201) 863-4804
Mailing address
433 57TH ST, WEST NEW YORK, NJ 07093-2119
(201) 863-2620
(201) 863-4804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8353506
—
NJ
Enumeration date
03/20/2006
Last updated
08/22/2020
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