Individual
DR. MARTIN DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
248 HARBOR LN, MASSAPEQUA PK, NY 11762-4011
(516) 572-8836
Mailing address
248 HARBOR LN, MASSAPEQUA PARK, NY 11762-4011
(516) 572-8836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
89462
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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