Most Relevant Information
Provider Data
| NPI Number: | 1003028457 |
| Provider Name: | OSCAR O DIAZ LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | 002694 |
Most Important Dates
| Enumeration Date: | 05/05/2007 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
3731 69TH ST
#1
WOODSIDE
NY
113772854
Practice Location Phone/Fax
| Phone: | 7188032007 |
| Fax: | 7188030030 |
Provider Mailing Location
5914 58TH DR
#2
MASPETH
NY
113783210
Provider Mailing Phone/Fax
| Phone: | 7183262936 |
| Fax: | 7188030030 |