Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MARIE DIAZ, MD
ActiveJENNIFER MARIE DIAZ, MD is a Allergy & Immunology healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1053636431 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1053636431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2010 (16.404273173918 yrs)
- Last Updated
- Apr 2, 2019
- Licenses
-
2511881 (NY)251188 (NY)
Practice Information
- Address
-
1500 ROUTE 112BLDG. 4 - 2ND FLOORPORT JEFFERSON STATION, NY, 117768054Browse NY providers · Browse ZIP 11776
- Phone
- 6318287001
- Fax
- 6319280185
- Primary Specialty
-
Allergy & Immunology
207K00000X
- Additional Specialty
- Allergy & Immunology
Other Allergy & Immunology Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH M CASSOUTO | MD | 1891032132 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.