National Provider Identifier
Randolf Diamond
Randolf Diamond is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Kenmore, NY and a listed phone number of (716) 986-2118.
Profile Overview
- NPI
- 1750026100
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- April 30, 2022
- Last Updated
- April 30, 2022
Practice Location
- 144 Wardman RD
- Kenmore, NY 14217-2837
Phone: (716) 986-2118
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1750026100
- Entity Type
- Individual
- Last Name
- Diamond
- First Name
- Randolf
- Mailing Street Address
- 144 Wardman RD
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2837
- Mailing Country
- US
- Mailing Phone
- (716) 986-2118
- Practice Street Address
- 144 Wardman RD
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2837
- Practice Country
- US
- Practice Phone
- (716) 986-2118
- Enumeration Date
- April 30, 2022
- Last Updated
- April 30, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 30, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)