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1174539050
CHRISTIAN DIAZ
CORONA, NY
NPI
1174539050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011049)
Enumeration Date
2006-07-31
Last Update Date
2011-06-15
Business Address
-- CHRISTIAN DIAZ
3716 108TH ST
CORONA, NY 11368-2025
Phone number: 718-651-4000
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Mailing Address
-- CHRISTIAN DIAZ
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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