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1376004242
ANTONIO JOSE DIAZ IZARRA
EAST MEADOW, NY
NPI
1376004242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-25
Last Update Date
2019-03-25
Business Address
ANTONIO JOSE DIAZ IZARRA MD
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6501
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Mailing Address
ANTONIO JOSE DIAZ IZARRA MD
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554-1859
Phone number: 516-572-6501
Copy
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