Diamond, Richard
Diamond, Richard is an individual health care provider with primary practice located at 630 W 168Th St # 20 , New York NY 10032-3725. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Diamond, Richard can be contacted via phone (212) 305-6414.Contact Information
Primary practice address
630 W 168Th St # 20
New York NY 10032-3725
Phone: (212) 305-6414
Fax: (212) 305-6032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 029383-1 | New York |
Profile Details
| NPI number | 1134410822 |
|---|---|
| LBN Legal business name | Diamond, Richard |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2011 |
| Last updated | Apr 28th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134410822 | NPPES |
| New Jersey | Other | D40116667712422 | DRIVERS LICENSE NJ |
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