Healthcare Provider Details

I. General information

NPI: 1861606014
Provider Name (Legal Business Name): DIOGENES ANTIPAS ALMONTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 12/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 GRAND STREET
BROOKLYN NY
11211
US

IV. Provider business mailing address

381 5TH ST
BROOKLYN NY
11215-2806
US

V. Phone/Fax

Practice location:
  • Phone: 718-388-8400
  • Fax: 718-486-0277
Mailing address:
  • Phone: 718-852-5252
  • Fax: 718-802-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: