Organization
ERIC A. DIAMOND MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE OMEDES (BILLING MANAGER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
8 SHANNON DR, WOODBURY, NY 11797-1227
(631) 271-9151
(631) 271-9155
Mailing address
8 SHANNON DR, WOODBURY, NY 11797-1227
(631) 271-9151
(631) 271-9155
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
141261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797360
—
NY
Enumeration date
10/15/2008
Last updated
10/15/2008
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