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1922635549
NICHOLAS A DIAZ
BRONX, NY
NPI
1922635549
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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
2020-03-24
Last Update Date
2020-03-24
Business Address
NICHOLAS A DIAZ DO
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
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Mailing Address
NICHOLAS A DIAZ DO
5922 68TH AVE
RIDGEWOOD, NY 11385-4442
Phone number: 239-250-4784
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