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Individual

DR. MICHAEL DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1112 PARK AVE, NEW YORK, NY 10128-1235
(212) 876-4500
(212) 831-6185
Mailing address
1112 PARK AVE, NEW YORK, NY 10128-1235
(212) 876-4500
(212) 831-6185

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
114488
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00822931
NY
Enumeration date
02/08/2007
Last updated
07/08/2007
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