| Andrea D'amico, Lmft, Pllc | |
|
650 Hawkins Ave Ste 5 Ronkonkoma NY 11779-2366 | |
| (516) 578-3827 | |
| Not Available |
| Full Name | Andrea D'amico, Lmft, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 650 Hawkins Ave Ste 5, Ronkonkoma, New York |
| Authorized Official Name and Position | Andrea D'amico (OWNER) |
| Authorized Official Contact | 5165783827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea D'amico, Lmft, Pllc 650 Hawkins Ave Ste 5 Ronkonkoma NY 11779-2366 Ph: (516) 578-3827 | Andrea D'amico, Lmft, Pllc 650 Hawkins Ave Ste 5 Ronkonkoma NY 11779-2366 Ph: (516) 578-3827 |
| NPI Number | 1083904064 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 10/13/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083904064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000050 (New York) | Primary |
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