Tammy Ann Diaz

Primary specialty

SpecialistTaxonomy code 174400000X

License

1345267 Issued in NY

Practice address

12 Harold St
Patchogue, NY 11772-2102

Phone

(631) 431-1034

Fax

(631) 758-0284

NPI assigned

Mar 30, 2009

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

State licenses

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1992947469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HAROLD ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722102",
            "telephone_number": "631-431-1034",
            "fax_number": "631-758-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HAROLD ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722102",
            "telephone_number": "631-431-1034",
            "fax_number": "631-758-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "TAMMY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1345267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R Diamond, DC
• Richard Robert Diana, PA
• Mario Antonio Diaz, PA-C
• Silvia Adaljisa Diaz, NP
• Steven F Diaz, MD
• Gary Dicanio, DO
• Troy E Dickinson, DO
• Marie Christine Didonato, PMHNP
• Natalie M Digioia, MD
• Stacey Ann Dimitriou-Ciaccio, RPA C

• Specialist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.