Healthcare Provider Details

I. General information

NPI: 1386998672
Provider Name (Legal Business Name): DIOGENES A. ALMONTE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2012
Last Update Date: 11/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 GRAND ST 1ST FLOOR
BROOKLYN NY
11211-4802
US

IV. Provider business mailing address

608 GRAND ST 1ST FLOOR
BROOKLYN NY
11211-4802
US

V. Phone/Fax

Practice location:
  • Phone: 718-388-8400
  • Fax:
Mailing address:
  • Phone: 718-388-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number123004
License Number StateNY

VIII. Authorized Official

Name: DR. DIOGENES A. ALMONTE
Title or Position: PRESIDENT
Credential: M. D.,
Phone: 718-388-8400