Individual
MS. ANDREA JEANINE D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
650 HAWKINS AVE STE 5, RONKONKOMA, NY 11779-2366
(516) 578-3827
Mailing address
36 BRILNER DRIVE, SMITHTOWN, NY 11787-1646
(516) 578-3827
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000050
NY
Other
Enumeration date
04/08/2006
Last updated
10/13/2021
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