Diaz, Keith Thomas

Diaz, Keith Thomas is an sole proprietor health care provider with primary practice located at 682 Forest Ave , Staten Island NY 10310-2507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Diaz, Keith Thomas can be contacted via phone (347) 575-9865.

Contact Information

Primary practice address
682 Forest Ave Staten Island NY 10310-2507
Phone: (347) 575-9865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245968 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 245968 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 245968 New York

Profile Details

NPI number 1073771556
LBN Legal business name Diaz, Keith Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2008
Last updated Sep 8th, 2014 - about 10 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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