Individual provider · Type 1 NPI

Nicholas A. Diaz, DO

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1922635549 Active

Practice location

4422 3rd Ave
Bronx, NY 10457-2545

Mailing address

5922 68th Ave
Ridgewood, NY 11385-4442

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922635549

Nicholas A. Diaz, DO's National Provider Identifier is 1922635549, issued on Mar 24, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Mar 24, 2020.