Aaron Shivok Diamond, CRNP | |
425 Center St, Bethlehem, PA 18018-6016 | |
(908) 319-3561 | |
Not Available |
Full Name | Aaron Shivok Diamond |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 425 Center St, Bethlehem, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861275612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP027944 (Pennsylvania) | Primary |
Entity Name | Primary Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932609 PECOS PAC ID: 9234046228 Enrollment ID: O20031124000553 |
Mailing Address | Practice Location Address |
---|---|
Aaron Shivok Diamond, CRNP 100 Shenango Ave, Sharon, PA 16146-1503 Ph: (814) 938-3310 | Aaron Shivok Diamond, CRNP 425 Center St, Bethlehem, PA 18018-6016 Ph: (908) 319-3561 |
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