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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134410822 NPPES
New Jersey Other D40116667712422 DRIVERS LICENSE NJ

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