Individual provider · Type 1 NPI

Jennifer Marie Diaz, MD

Allergy & Immunology Physician · Port Jefferson Station, NY

NPI number 1053636431 Active

Practice location

1500 Route 112, Bldg. 4 - 2nd Floor
Port Jefferson Station, NY 11776-8054

Fax (631) 928-0185

Mailing address

660 White Plains Rd Fl 4
Tarrytown, NY 10591-5139

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X2511881 (NY)
Allergy & Immunology Physician Primary 207K00000X251188 (NY)

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

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About NPI 1053636431

Jennifer Marie Diaz, MD's National Provider Identifier is 1053636431, issued on Mar 29, 2010. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Apr 2, 2019.