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Individual

HOWARD DIAMOND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5210 108 STREET, CORONA, NY 11368
(718) 271-9016
(718) 595-1865
Mailing address
5210 108 STREET, CORONA, NY 11368
(718) 271-9016
(718) 595-1806

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0036291
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00845354
NY
Enumeration date
12/19/2006
Last updated
10/12/2011
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