Diamond, Melissa Ivy

Diamond, Melissa Ivy is an sole proprietor health care provider with primary practice located at 1430 Broadway , Long Island City NY 11106-4530. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Diamond, Melissa Ivy can be contacted via phone (718) 545-7095.

Contact Information

Primary practice address
1430 Broadway Long Island City NY 11106-4530
Phone: (718) 545-7095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 023906-1 New York

Profile Details

NPI number 1811263619
LBN Legal business name Diamond, Melissa Ivy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2012
Last updated Mar 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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