Diaz, Joaquin

Diaz, Joaquin is an sole proprietor health care provider with primary practice located at 87-08 Justice Ave Suite Ck, Elmhurst NY 11373. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Diaz, Joaquin can be contacted via phone (718) 899-0900.

Contact Information

Primary practice address
87-08 Justice Ave Suite Ck Elmhurst NY 11373
Phone: (718) 899-0900
Fax: (718) 899-8118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0046421 New York

Profile Details

NPI number 1467441998
LBN Legal business name Diaz, Joaquin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Aug 5th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467441998 NPPES
New York MEDICAID 01668762
New York Other 0020590
New York Other P50801

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