Healthcare Provider Details

I. General information

NPI: 1730701343
Provider Name (Legal Business Name): DIAMOND MEDICAL EMPLOYMENT AGENCY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21873 HEMPSTEAD AVE
QUEENS VILLAGE NY
11429-2103
US

IV. Provider business mailing address

21873 HEMPSTEAD AVE
QUEENS VILLAGE NY
11429-2103
US

V. Phone/Fax

Practice location:
  • Phone: 917-595-7569
  • Fax:
Mailing address:
  • Phone: 917-595-7569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: SARINA MARIE DIAMOND
Title or Position: OWNER
Credential: CNA
Phone: 917-595-7569