271 MADISON AVE STE 1102
NEW YORK, NY 10016-1032 US PECOS Enrolled
Overview
Robert Diamond is a Clinical Social Worker in the NEW YORK area. Robert Diamond primary office location is at 271 MADISON AVE STE 1102 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003002726 and the information was updated approximately 3 years ago.
Robert Diamond is affiliated with one medical group in the NEW YORK area, JGB MENTAL HEALTH AND MENTAL RETARDATION SERVICES INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| R048777-1 | NY |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 03512118 | NY |
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Social Worker - Taxonomy Code 1041C0700X | NY | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20091013000379 |
| PECOS Individual PAC ID: | 4183778368 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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