Mario Antonio Diaz, PA-C

NPI #1093475246 in Patchogue, New York

Provider Information

NPI Number
1093475246
Entity Type
Individual
Name
Mario Antonio Diaz, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Dec 28, 2021
Last Updated
Jan 17, 2022

Practice Location

Address
101 HOSPITAL RD
ZIP Code
11772-4870
Phone
(631) 575-9591

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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