Individual
AHUVA DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2813 FARRAGUT RD, BROOKLYN, NY 11210-1437
(347) 203-9758
Mailing address
3005 BEDFORD AVE SIDE DOOR, BROOKLYN, NY 11210-2831
(347) 203-9758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1207145182
NY
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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