Individual
DR. CARLOS BERCES DIAMONON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30 E 40TH ST, SUITE 705, NEW YORK, NY 10016-1201
(212) 679-2591
(212) 397-3382
Mailing address
30 E 40TH ST RM 705, NEW YORK, NY 10016-1213
(917) 796-1910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044371
NY
Other
Enumeration date
02/27/2007
Last updated
11/20/2020
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