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Contact Information

DIAMOND DISTRICT CORNEAL, P.C.
56-50 MYRTLE AVENUE
RIDGEWOOD, NY11385
 Phone: 718-456-9500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for DIAMOND DISTRICT CORNEAL PC · (Female)

NPI # 1518099209
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2007
Last updated 05/22/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Medicaid 02426864
  • NY Other G400008555 MEDICARE INDIVIDUAL PTAN
  • NY Other DQ1530 RAILROAD MEDICARE GROUP PTAN
  • NY Other P00818737 RAILROAD MEDICARE INDIVIDUAL PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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