Provider Demographics
NPI:1053532531
Name:DIAMOND, KARA ALYSE (DDS)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:ALYSE
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:DDS
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Mailing Address - Street 1:360 E 88TH ST
Mailing Address - Street 2:APT 20A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4982
Mailing Address - Country:US
Mailing Address - Phone:914-946-2218
Mailing Address - Fax:914-946-4303
Practice Address - Street 1:222 WESTCHESTER AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2906
Practice Address - Country:US
Practice Address - Phone:914-946-2218
Practice Address - Fax:914-946-4303
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0482501223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics