Doctor Name: | MR. MARC H DIAMOND |
NPI Number: | 1043499973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | PR024329-1 |
Business Practice Address: | 616 Ashford Ave Ardsley, NY - 105022424 |
Business Phone Number: | 9146934801 |
Business Fax Number: | 9146934927 |
Mailing Address: | 616 Ashford Ave, ARDSLEY |
State: | NY |
Postal Code: | 105022424 |
Phone Number: | 9146934801 |
Fax Number: | 9146934927 |
NPI Enumeration Date: | 10/27/2007 |
NPI Last Update Date: | 10/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | PR024329-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |