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1477642858
MIGUEL DIAZ
HALFMOON, NY
NPI
1477642858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 203991)
Enumeration Date
2006-10-12
Last Update Date
2016-08-24
Business Address
MIGUEL DIAZ
1783 ROUTE 9 SUITE 204
HALFMOON, NY 12065-2409
Phone number: 518-371-9355
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Mailing Address
MIGUEL DIAZ
711 TROY SCHENECTADY RD SUITE 203
LATHAM, NY 12110-2442
Phone number: 518-782-3700
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