Provider Demographics
NPI:1245272293
Name:DIAMOND, STEVEN BERNARD (DO)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BERNARD
Last Name:DIAMOND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 VERDUN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2215
Mailing Address - Country:US
Mailing Address - Phone:914-654-1144
Mailing Address - Fax:
Practice Address - Street 1:233 7TH ST
Practice Address - Street 2:2ND FLOOR, EAST WING #2
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5747
Practice Address - Country:US
Practice Address - Phone:516-248-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1524582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
B88895Medicare UPIN
NY86A822Medicare PIN
NY86A821Medicare PIN