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Matthew A. Diament

Radiology

Allopathic & Osteopathic Physicians

227 Franklin Ave, Hewlett, NY 11557-1902

PECOS Enrollment

This provider is enrolled in PECOS as MATTHEW DIAMENT.

Based on the most recent information from CMS, provider Matthew A. Diament is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 12:57 PM.

Profile Details

Provider ID
1679527311
Provider Type
Individual
Full Name
Diament, Matthew A.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/19/2006
Last Updated
10/20/2015

Contact Information

Practice Location

227 Franklin Ave, Hewlett, NY 11557-1902

(516) 295-5500

(516) 569-8225

Mailing Location

545 Elmont Rd, Elmont, NY 11003-4002

(516) 328-7200

(516) 977-2874

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 239328 New York

Provider Identifiers

ID	Description	Issuer
ID 02745893	Description Medicaid	Issuer Unlisted New York

Matthew A. Diament

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Long Island Radiology Associates, Pc

Community Radiology Service, Pc

Nussbaum, Myrna K.

Gelber, Howard J.

Schulze, Gerald J.

Singer, Michael B.

Nuba, Robert Samuel

Mccleavey, James R.

Ryoo, Simon