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1952140790
DANIEL MICHAEL DIAZ
BAY SHORE, NY
NPI
1952140790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 674998)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
DANIEL MICHAEL DIAZ
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 516-673-1408
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Mailing Address
DANIEL MICHAEL DIAZ
119 INTERVALE AVE
FARMINGDALE, NY 11735-5830
Phone number:
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