Organization
RICHMOND PULMONARY AND CRITICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH THOMAS DIAZ M.D. (PHYSICIAN)
(347) 575-9865
Entity
Organization
Contact information
Practice address
355 BARD AVE, SICU, STATEN ISLAND, NY 10310-1664
(347) 575-9865
Mailing address
474 BEDFORD AVE, STATEN ISLAND, NY 10306-5424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245968
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
245968
NY
207RP1001X
Pulmonary Disease Physician
245968
NY
Other
Enumeration date
11/01/2013
Last updated
12/31/2014
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