Individual
ROBERT DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 MARCUS DR, MELVILLE, NY 11747-4228
(631) 390-1793
(631) 390-1780
Mailing address
110 MARCUS DR, MELVILLE, NY 11747-4228
(631) 390-1793
(631) 390-1780
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
131553-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01404580
—
NY
05
—
206693468A
—
GA
05
—
270749700
—
FL
Enumeration date
05/31/2005
Last updated
08/07/2012
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