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Individual
JONATHAN DIAMOND
Active
Individual
JONATHAN DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194993519
GROUP NPI
NY
01
—
Q35P51
BLUE CORSS BLUE SHIELD
NY
Enumeration date
10/10/2006
Last updated
01/12/2024
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