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Organization
PRESTIGE PHYSICIANS SERVICES, PLLC
Active
Organization
PRESTIGE PHYSICIANS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M DIAMOND MD (OWNER)
(914) 755-6812
Entity
Organization
Contact information
Practice address
164 WILLOW AVE, CORNWALL, NY 12518
(845) 565-1771
(845) 565-4941
Mailing address
164 WILLOW AVE, CORNWALL, NY 12518-1329
(914) 755-6812
(845) 565-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05174598
—
NY
Enumeration date
08/17/2006
Last updated
12/01/2018
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