Individual
DR. JOSE VALENTIN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795
(631) 465-6343
Mailing address
12204 150TH AVE, SOUTH OZONE PARK, NY 11420-4113
(718) 791-5373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
294195
NY
208600000X
Surgery Physician
Primary
LT18018
ME
Other
Enumeration date
09/28/2011
Last updated
08/23/2018
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