Provider Demographics
NPI:1861606014
Name:ALMONTE, DIOGENES ANTIPAS (MD)
Entity type:Individual
Prefix:MR
First Name:DIOGENES
Middle Name:ANTIPAS
Last Name:ALMONTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2806
Mailing Address - Country:US
Mailing Address - Phone:718-852-5252
Mailing Address - Fax:718-802-1113
Practice Address - Street 1:608 GRAND STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211
Practice Address - Country:US
Practice Address - Phone:718-388-8400
Practice Address - Fax:718-486-0277
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY123004208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00231030Medicaid
NY00231030Medicaid