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1114519378
CARMEN DIAZ
BAY SHORE, NY
NPI
1114519378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 829824969)
Enumeration Date
2021-02-09
Last Update Date
2021-02-09
Business Address
CARMEN DIAZ
89 JUNARD DR
BAY SHORE, NY 11706-4516
Phone number: 254-244-1660
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Mailing Address
CARMEN DIAZ
89 JUNARD DR
BAY SHORE, NY 11706-4516
Phone number:
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