Provider Demographics
NPI:1518332345
Name:DIAMOND, ABBY (MS CCC/SLP)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:NEIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:48 CURLEY ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-2706
Mailing Address - Country:US
Mailing Address - Phone:516-889-4970
Mailing Address - Fax:
Practice Address - Street 1:48 CURLEY ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2706
Practice Address - Country:US
Practice Address - Phone:516-889-4970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003564-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist