| Doctor Name: | JENNIFER MARIE DIAZ |
| NPI Number: | 1053636431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 2511881 |
| Business Practice Address: | 1500 Route 112 Bldg. 4 - 2nd Floor Port Jefferson Station, NY - 117768054 |
| Business Phone Number: | 6318287001 |
| Business Fax Number: | 6319280185 |
| Mailing Address: | 560 White Plains Rd, Suite 500 TARRYTOWN |
| State: | NY |
| Postal Code: | 105915113 |
| Phone Number: | 9149842534 |
| Fax Number: | 9144250480 |
| NPI Enumeration Date: | 03/29/2010 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 2511881 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |