Individual
DR. JERRY ALBERT DIAMOND II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14 PENN PLAZA, SUITE 400, NEW YORK, NY 10119
(212) 563-0095
(212) 563-0076
Mailing address
229 E 28TH ST, APT 2F, NEW YORK, NY 10016-8507
(212) 725-2908
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033550
NY
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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