Individual
DR. RICHARD DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
630 W 168TH ST # 20, NEW YORK, NY 10032-3725
(212) 305-6414
(212) 305-6032
Mailing address
630 W 168TH ST # 20, NEW YORK, NY 10032-3725
(212) 305-6414
(212) 305-6032
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
029383-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D40116667712422
DRIVERS LICENSE NJ
NJ
Enumeration date
04/28/2011
Last updated
04/28/2011
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