Dr. Keith Thomas Diaz
Internist Pulmonary Disease Critical Care Medicine
682 Forest Ave
Staten Island
, New York 10310-2507
Dr. Keith Thomas Diaz
Internist Pulmonary Disease Critical Care Medicine
682 Forest Ave
Staten Island
, New York 10310-2507
(347) 575-9865
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About
Features
Specialties
- Internist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Keith Thomas Diaz
- 474 Bedford Ave
- Staten Island, NY
- Zip : 10306-5424
- Phone : (347) 575-9865
Second Address
- Dr. Keith Thomas Diaz
- 682 Forest Ave
- Staten Island, NY
- Zip : 10310-2507
- Phone : (347) 575-9865
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 245968 | NY |
| N | 111NI0900X | Internist | 245968 | NY |
| N | 207RC0200X | Critical Care Medicine | 245968 | NY |
| Y | 207RP1001X | Pulmonary Disease | 245968 | NY |
National Provider Identifier
| NPI | 1073771556 |
|---|---|
| Provider Name | Dr. Keith Thomas Diaz |
| First Address | Staten Island, NY 10306-5424 |
| Second Address | Staten Island, NY 10310-2507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/05/2008 |
| Last Update Date | 08/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.