Individual provider · Type 1 NPI

Diamond Maddox

Student in an Organized Health Care Education/Training Program · Arverne, NY

NPI number 1639972052 Active

Practice location

507 Beach 64th St
Arverne, NY 11692-1326

Call (347) 886-7321 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639972052

Diamond Maddox's National Provider Identifier is 1639972052, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Arverne, NY. The record was last updated on Mar 31, 2025.