Individual
WADIH DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 HARRISON ST, JOHNSON CITY, NY 13790-2161
(607) 763-8100
(607) 763-8048
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
141000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00645547
—
NY
Enumeration date
09/01/2005
Last updated
11/18/2011
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