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1245716935
JONATHAN DIAZ
NEW YORK, NY
NPI
1245716935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 431341)
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
JONATHAN DIAZ NP
1468 MADISON AVE
NEW YORK, NY 10029-6508
Phone number: 212-241-6500
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Mailing Address
JONATHAN DIAZ NP
23 MELBA ST
STATEN ISLAND, NY 10314-5334
Phone number:
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