# ANDREA D'AMICO, LMFT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083904064
- **Authorized official:** ANDREA D'AMICO M.A., LMFT (OWNER)
- **Authorized official phone:** (516) 578-3827

## Contact information

- **Practice address:** 650 HAWKINS AVE STE 5, RONKONKOMA, NY 11779-2366
- **Practice address phone:** (516) 578-3827
- **Mailing address:** 650 HAWKINS AVE STE 5, RONKONKOMA, NY 11779-2366
- **Mailing address phone:** (516) 578-3827
- **Mailing address fax:** (631) 615-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 000050 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 10/13/2021