Organization
K. DIAMOND PHARMACY. INC
Active
Organization
K. DIAMOND PHARMACY. INC
Active
Other names
DERMER SURGICAL SUPPLIES & ORTHOTICS
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A NAPOLITANO (STORE MANAGER)
(718) 377-4900
Entity
Organization
Contact information
Practice address
2064 FLATBUSH AVE, BROOKLYN, NY 11234-4314
(718) 377-4900
(718) 252-6050
Mailing address
2064 FLATBUSH AVE, BROOKLYN, NY 11234-4314
(718) 377-4900
(718) 252-6050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
020075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01102652
—
NY
01
—
2065595
PK
—
Enumeration date
08/23/2006
Last updated
08/05/2019
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