Randolph Mark Diamond D.D.S., M.S.

NPI 1023213485 - Dentist - 1223G0001X

NPI Details
NPI 1023213485
Gender Male
Enumeration Date 06/17/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
11 RIVERSIDE DR
NEW YORK NY, 10023-2504, US
Phone (212) 873-2651
Fax
Business Location
11 RIVERSIDE DR
NEW YORK NY, 10023-2504, US
Phone (212) 873-2651
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State New York
License Number 034048
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According to our database, Dr. Randolph Mark Diamond D.D.S., M.S. NPI is 1023213485, taxonomy code is 1223G0001X and license number is 034048, license state is located at New York. Randolph Mark Diamond D.D.S., M.S. physically located at 11 Riverside Dr, New York NY, 10023-2504. NPI Number Randolph Mark Diamond D.D.S., M.S. has the Individual type.

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1023213485 NPI number is provided on an as is basis without warranty of any kind. 1023213485 is maintained by the National Plan & Provider Enumeration System. The contents of Randolph Mark Diamond D.D.S., M.S. are for informational purposes only.