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Individual
MRS. JUDITH DAMICO
Active
Individual
MRS. JUDITH DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW R016472-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02027003
MEDICAID
NY
01
—
059761
VALUE OPTIONS
—
01
—
74009640
GHI, EMPIRE PLAN
—
01
—
N61882
EMPIRE BC/BS
—
01
—
P1533264
OXFORD HEALTH CARE
—
Enumeration date
09/17/2006
Last updated
07/08/2007
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