Provider Demographics
NPI:1497196133
Name:DIAMOND, CHRISTINA MARIE
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 BROADWAY
Mailing Address - Street 2:2-I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-1602
Mailing Address - Country:US
Mailing Address - Phone:646-708-4298
Mailing Address - Fax:
Practice Address - Street 1:5000 BROADWAY
Practice Address - Street 2:2-I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1602
Practice Address - Country:US
Practice Address - Phone:646-708-4298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula