Mario Antonio Diaz, PA-C
Mario Antonio Diaz, PA-C is a Physician Assistant in Patchogue, New York. Qualified in 2021, 5 years ago. Practices with St Joseph Hospital, a 99-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
Patchogue, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 027841 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1093475246 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 28, 2021 |
| Last updated in NPPES | January 17, 2022 |
| Certification date | January 13, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | St. Joseph Hospital — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Sohaib Agha, DO
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Doreen Esther Amankwah Owusu, MD
Student / training record Patchogue, NY
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Roberto R Cabral
Student / training record Patchogue, NY
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Rachel Mary Florenz, PA-C
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Vincent Gomez
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Nneka Jagdeo
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Monica Lisa Khalil, MD
Student / training record Patchogue, NY