Diab, Wadih

Diab, Wadih is an individual health care provider with primary practice located at 30 Harrison St , Johnson City NY 13790-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Diab, Wadih can be contacted via phone (607) 763-8100.

Contact Information

Primary practice address
30 Harrison St Johnson City NY 13790-2161
Phone: (607) 763-8100
Fax: (607) 763-8048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 141000 New York

Profile Details

NPI number 1972597284
LBN Legal business name Diab, Wadih
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Nov 18th, 2011 - about 13 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 1972597284 NPPES
New York MEDICAID 00645547

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