Individual
MICHAEL R DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
283 SILLS RD, BLDG 9D, PATCHOGUE, NY 11772
(631) 758-7111
(631) 758-2325
Mailing address
283 SILLS RD, BLDG 9D, PATCHOGUE, NY 11772
(631) 758-7111
(631) 758-2325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006474-1
NY
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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