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Individual

DR. EVAN DIAMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8714 57TH RD # PA, ELMHURST, NY 11373-4870
(631) 751-3000
(631) 751-0506
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290344
NY
207RH0003X
Hematology & Oncology Physician
Primary
290344
NY
207RX0202X
Medical Oncology Physician
290344
NY

Other

Enumeration date
04/22/2014
Last updated
08/31/2021
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