Individual
DR. AVIVA DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2594
(718) 960-6173
Mailing address
51 EDISON CT APT D, MONSEY, NY 10952-1929
(718) 909-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062538
NY
1223G0001X
General Practice Dentistry
063538
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
04/05/2021
Last updated
09/12/2022
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