Carmencita Diaz-Sy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

145572 Issued in NY

Practice address

21544 24TH Ave
Bayside, NY 11360-2220

Phone

(718) 428-7641

Fax

(718) 225-8671

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497867121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21544 24TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602220",
            "telephone_number": "718-428-7641",
            "fax_number": "718-225-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21544 24TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602220",
            "telephone_number": "718-428-7641",
            "fax_number": "718-225-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-SY",
        "first_name": "CARMENCITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "145572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suresh Desai, RPH
• Theresa Caroline Devereaux, P.T.
• Elizabeth Ann Devivo, RN
• Sayyada Dewji, OTR/L, OTD
• Jill M Diamond, AUD
• Jennifer Lynn Dibenedetto, MS; SLP
• Alexander J Dimassi
• Silvia Roberta Dimonte
• Genevieve Dimou, LCSW
• Alan Diner, M.D.

• Pediatrics Physician in Bayside, NY
• Providers in Bayside, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.