Individual
DYAMOND SHALEO LEBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 BEACH 59TH ST APT 102, ARVERNE, NY 11692-1811
(516) 549-4137
Mailing address
124 BEACH 59TH ST APT 102, ARVERNE, NY 11692-1811
(516) 549-4137
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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