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Contact Information

SIERRA DIAMOND
291 MAIN ST
MIDDLEBURGH, NY12122-6520
 Phone: 518-570-7178
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
Indicates primary specialty

NPI Profile & details for SIERRA DIAMOND · (Female)

NPI Number 1760188536
Status Active
Credentials
Entity Individual
Enumeration date 02/03/2023
Last updated 02/03/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 105194
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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