Diamond, Robert
Diamond, Robert is an individual health care provider with primary practice located at 110 Marcus Dr , Melville NY 11747-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Diamond, Robert can be contacted via phone (631) 390-1793.Contact Information
Primary practice address
110 Marcus Dr
Melville NY 11747-4228
Phone: (631) 390-1793
Fax: (631) 390-1780
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 131553-1 | New York |
Profile Details
NPI number | 1407859861 |
---|---|
LBN Legal business name | Diamond, Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Aug 7th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407859861 | NPPES |
Florida | MEDICAID | 270749700 | |
Florida | MEDICAID | 01404580 | |
Florida | MEDICAID | 206693468A |
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