Provider Demographics
NPI:1730701343
Name:DIAMOND MEDICAL EMPLOYMENT AGENCY INC
Entity type:Organization
Organization Name:DIAMOND MEDICAL EMPLOYMENT AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:917-595-7569
Mailing Address - Street 1:21873 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-2103
Mailing Address - Country:US
Mailing Address - Phone:917-595-7569
Mailing Address - Fax:
Practice Address - Street 1:21873 HEMPSTEAD AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-2103
Practice Address - Country:US
Practice Address - Phone:917-595-7569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care MedicineGroup - Multi-Specialty
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility