Individual
DR. LEWIS PATRICK DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
111 E 210TH ST DEPT OF, BRONX, NY 10467-2401
(718) 920-4316
Mailing address
111 E 210TH ST FL 4, BRONX, NY 10467-2401
(718) 920-4316
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
042-0015943
VT
207L00000X
Anesthesiology Physician
275137
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
275137
NY
Other
Enumeration date
04/10/2012
Last updated
05/24/2022
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