Diaz, Maria Linda

Diaz, Maria Linda is an individual health care provider with primary practice located at 105 Hamilton Ave , Staten Island NY 10301-1610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Diaz, Maria Linda can be contacted via phone (718) 764-2410.

Contact Information

Primary practice address
105 Hamilton Ave Staten Island NY 10301-1610
Phone: (718) 764-2410
Fax: (917) 521-0983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382149 New York

Profile Details

NPI number 1326334848
LBN Legal business name Diaz, Maria Linda
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2011
Last updated Mar 17th, 2018 - about 7 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 1326334848 NPPES
New York MEDICAID 00245423

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