| Raymond A Diaz M D Pc | |
|
307 E Shore Rd 2nd Floor Great Neck NY 11023-2420 | |
| (516) 233-2838 | |
| (718) 425-8934 |
| Full Name | Raymond A Diaz M D Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 307 E Shore Rd, Great Neck, New York |
| Authorized Official Name and Position | Raymond Anthony Diaz (PRESIDENT) |
| Authorized Official Contact | 5162332838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond A Diaz M D Pc 307 E Shore Rd 2nd Floor Great Neck NY 11023-2420 Ph: (516) 233-2838 | Raymond A Diaz M D Pc 307 E Shore Rd 2nd Floor Great Neck NY 11023-2420 Ph: (516) 233-2838 |
| NPI Number | 1629362330 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 02/15/2013 |
| Medicare PECOS PAC ID | 2961675780 |
|---|---|
| Medicare Enrollment ID | O20111024000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629362330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 213794 (New York) | Primary |
| Provider Name | Raymond Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346250024 PECOS PAC ID: 6002903408 Enrollment ID: I20100330001144 |
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