CARL DIAZ-PARKER NPI 1326128349

NPI Information

NPI: 1326128349
Provider Name: CARL DIAZ-PARKER
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
711 TROY SCHENECTADY RD STE 119
LATHAM, NY
ZIP 12110
Phone: (518) 786-9131
Get Directions

Carl Diaz-parker is a surgical physician assistant in Latham, NY. Carl Diaz-parker NPI is 1326128349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

711 TROY SCHENECTADY RD STE 119
LATHAM, NY
ZIP 12110-454
Phone: (518) 786-9131
Fax: (518) 786-9136

The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	007208	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02340825	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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