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1740564533
JOSE VALENTIN DIAZ
WEST ISLIP, NY
NPI
1740564533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: ME LT18018)
Additional Taxonomies
208600000X Surgery
(Licence: NY 294195)
Enumeration Date
2011-09-28
Last Update Date
2018-08-23
Business Address
Dr. JOSE VALENTIN DIAZ D.O.
1000 MONTAUK HWY
WEST ISLIP, NY 11795
Phone number: 631-465-6343
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Mailing Address
Dr. JOSE VALENTIN DIAZ D.O.
12204 150TH AVE
SOUTH OZONE PARK, NY 11420-4113
Phone number: 718-791-5373
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