Healthcare Provider Details

I. General information

NPI: 1558742916
Provider Name (Legal Business Name): DR ASHER DIAMOND DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 DAVISON AVE
OCEANSIDE NY
11572-2237
US

IV. Provider business mailing address

2838 LONG BEACH RD
OCEANSIDE NY
11572-2258
US

V. Phone/Fax

Practice location:
  • Phone: 516-778-9296
  • Fax:
Mailing address:
  • Phone: 516-778-9296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHER DIAMOND
Title or Position: OWNER
Credential:
Phone: 516-778-9296