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Jennifer Marie Diaz, MD
Allergy & Immunology Physician in Port Jefferson Station, New York
NPI 1053636431

Jennifer Marie Diaz is an Allergy & Immunology Physician based in Tarrytown, NY. Jennifer Marie Diaz practices in Port Jefferson Station, NY and has the professional credentials of MD. The NPI Number for Jennifer Marie Diaz is 1053636431 and holds a License No. 2511881 (New York).

The current practice location address for Jennifer Marie Diaz is 1500 Route 112, Port Jefferson Station, NY and can be reached out via phone at 631-828-7001 and via fax at 631-928-0185. You can also correspond with Jennifer Marie Diaz through the mailing address at 660 WHITE PLAINS RD FL 4, TARRYTOWN, NY - 10591-5139 (mailing address contact number: 914-984-2546).

Location: 1500 Route 112, Port Jefferson Station, NY, 10591-5139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053636431
Provider Name
Jennifer Marie Diaz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1500 Route 112, Port Jefferson Station, NY, 10591-5139
Phone Number
631-828-7001
Fax Number
631-928-0185
Provider Enumeration Date
03/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01438980 01 NY RAILROAD MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
1500 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-8054
Phone Number
631-828-7001
Fax Number
631-928-0185
person
Provider Business Mailing Address Details
Address
1500 Route 112
City
Port Jefferson Station
State
New York
Zip
11776-8054
Phone Number
631-828-7001
Fax Number
631-928-0185
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
-
Taxonomy
207K00000X
License No.
251188 (New York)
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
2511881 (New York)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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