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NPI Code Detail

MEDICARE: DIAMOND MEDICAL ASSOCIATES PC

MEDICARE: DIAMOND MEDICAL ASSOCIATES PC
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
1208D00000XGeneral Practice Physician228860NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932314531
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIAMOND MEDICAL ASSOCIATES PC
Provider Business Mailing Address
First Line : 359 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-3937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4010
Country : US
Telephone Number : 718-627-8700
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : MISS RACHEL JACOBS
Credential :
Telephone Number : 718-486-0798
Provider Enumeration Date : 05/14/2007
Last Update Date : 06/12/2015

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Directions to “DIAMOND MEDICAL ASSOCIATES PC ” Practice Location

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