Organization
DIAMOND MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RACHEL JACOBS (BILLING MANAGER)
(718) 486-0798
Entity
Organization
Contact information
Practice address
440 AVENUE U, BROOKLYN, NY 11223-4010
(718) 627-8700
Mailing address
359 AVENUE U, BROOKLYN, NY 11223-3937
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
228860
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02824904
—
NY
Enumeration date
05/14/2007
Last updated
06/12/2015
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