MEDICARE: AMIE MARIE DIAMOND P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	022461-1	NY
2	2251X0800X	Orthopedic Physical Therapist	022461-1	NY

General Provider Information

NPI Number	:	1518072925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIE MARIE DIAMOND P.T.

Provider Business Mailing Address
First Line	:	800 AVENUE OF THE AMERICAS
Second Line	:	APT 28 G
City	:	NEW YORK
State	:	NY
Zip	:	10001-6345
Country	:	US
Telephone Number	:	212-685-4255
Fax Number	:

Provider Business Practice Location Address
First Line	:	850 7TH AVE
Second Line	:	SUITE 302
City	:	NEW YORK
State	:	NY
Zip	:	10019-5230
Country	:	US
Telephone Number	:	212-315-1462
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/11/2025

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