Individual provider · Type 1 NPI

Jennifer Diaz, PA-C

Physician Assistant · Glen Cove, NY

NPI number 1821955279 Active

Practice location

235 Forest Ave
Glen Cove, NY 11542-2034

Call (516) 463-6600 Map

Mailing address

34 Weston St
Huntington Station, NY 11746-4031

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X035840 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1821955279

Jennifer Diaz, PA-C's National Provider Identifier is 1821955279, issued on Jan 7, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Glen Cove, NY. The record was last updated on Jun 8, 2026.