Individual
MICHAEL S DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25737 US ROUTE 11, EVANS MILLS, NY 13637-3221
(315) 629-4312
Mailing address
6510 STAGE RD, UTICA, NY 13502-6714
(315) 865-4299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV3148NYS
NY
Other
Enumeration date
08/04/2006
Last updated
07/09/2007
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