MEDICARE: DR. DAVID LEIB DIAMOND MD

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
1	208000000X	Pediatrics Physician	120844	NY

General Provider Information

NPI Number	:	1255388674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID LEIB DIAMOND MD

Provider Business Mailing Address
First Line	:	473 W END AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-4934
Country	:	US
Telephone Number	:	212-724-6651
Fax Number	:

Provider Business Practice Location Address
First Line	:	473 W END AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-4934
Country	:	US
Telephone Number	:	212-724-6651
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	11/25/2025

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