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Individual

MRS. JESSICA MARIE DIAMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1873 WESTERN AVE, SUITE 103, ALBANY, NY 12203-5028
(518) 253-8230
Mailing address
1873 WESTERN AVE, SUITE 103, ALBANY, NY 12203-5028
(518) 869-8000
(518) 869-8009

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012875-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S2448797
BCBS
Enumeration date
10/25/2016
Last updated
12/05/2022
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