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NPI Code Detail

MEDICARE: DIAMOND MEDICAL EMPLOYMENT AGENCY INC

MEDICARE: DIAMOND MEDICAL EMPLOYMENT AGENCY INC
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
1163WC0200XCritical Care Medicine Registered Nurse
2314000000XSkilled Nursing Facility
3251J00000XNursing Care Agency

General Provider Information

NPI Number : 1730701343
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAMOND MEDICAL EMPLOYMENT AGENCY INC
Provider Business Mailing Address
First Line : 21873 HEMPSTEAD AVE
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11429-2103
Country : US
Telephone Number : 917-595-7569
Fax Number :
Provider Business Practice Location Address
First Line : 21873 HEMPSTEAD AVE
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11429-2103
Country : US
Telephone Number : 917-595-7569
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SARINA MARIE DIAMOND
Credential : CNA
Telephone Number : 917-595-7569
Provider Enumeration Date : 05/18/2020
Last Update Date : 06/22/2021

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Directions to “DIAMOND MEDICAL EMPLOYMENT AGENCY INC ” Practice Location

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