Judith Damico

NPI 1396842944 - Social Worker - 104100000X

NPI Details
NPI 1396842944
Gender Female
Enumeration Date 09/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
903 MAIN ST
SUITE 202
PORT JEFFERSON NY, 11777-2262, US
Phone (631) 473-3060
Fax (631) 751-2850
Business Location
903 MAIN ST
SUITE 202
PORT JEFFERSON NY, 11777-2262, US
Phone (631) 473-3060
Fax (631) 751-2850
Toxanomy
Taxonomy Code 104100000X
License State New York
License Number LCSW R016472-1
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According to our database, Mrs. Judith Damico NPI is 1396842944, taxonomy code is 104100000X and license number is LCSW R016472-1, license state is located at New York. Judith Damico physically located at 903 Main St, Port Jefferson NY, 11777-2262. NPI Number Judith Damico has the Individual type.

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1396842944 NPI number is provided on an as is basis without warranty of any kind. 1396842944 is maintained by the National Plan & Provider Enumeration System. The contents of Judith Damico are for informational purposes only.