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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1407859861 NPPES
Florida MEDICAID 270749700
Florida MEDICAID 01404580
Florida MEDICAID 206693468A

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