Provider Demographics
NPI:1265468102
Name:DIAMONDSTEIN, NELSON LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:LEE
Last Name:DIAMONDSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 FLATLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3721
Mailing Address - Country:US
Mailing Address - Phone:718-272-1500
Mailing Address - Fax:718-272-1501
Practice Address - Street 1:9229 FLATLANDS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3721
Practice Address - Country:US
Practice Address - Phone:718-272-1500
Practice Address - Fax:718-272-1501
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice