Diamond Maddox

NPI #1639972052 in Arverne, New York

Provider Information

NPI Number: 1639972052
Entity Type: Individual
Name: Diamond Maddox
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 31, 2025
Last Updated: Mar 31, 2025

Practice Location

Address: 507 BEACH 64TH ST
City: Arverne
State: New York
ZIP Code: 11692-1326
Phone: (347) 886-7321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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