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Individual

ANTONIO S DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 WATERS PL, SUITE 507, BRONX, NY 10461-2720
(718) 792-4500
(718) 792-4502
Mailing address
PO BOX 366, NEW ROCHELLE, NY 10802-0366
(914) 771-7335
(914) 771-7338

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196305
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01752547
NY
Enumeration date
02/08/2006
Last updated
11/09/2009
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