Dimond, Carol
Dimond, Carol is an individual health care provider with primary practice located at 2445 State Route 30 Sunmount Ddso, Tupper Lake NY 12986-2502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dimond, Carol can be contacted via phone (518) 359-7701.Contact Information
Primary practice address
2445 State Route 30 Sunmount Ddso
Tupper Lake NY 12986-2502
Phone: (518) 359-7701
Fax: (518) 359-4133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 155797 | New York |
Profile Details
| NPI number | 1508904103 |
|---|---|
| LBN Legal business name | Dimond, Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | Jul 20th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508904103 | NPPES |
| New York | MEDICAID | 01183251 |
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