Individual
MARISA IX-D'AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 CRYSTAL RUN RD STE 107, MIDDLETOWN, NY 10941-4051
(845) 673-4260
Mailing address
390 CRYSTAL RUN RD STE 107, MIDDLETOWN, NY 10941-4051
(845) 673-4260
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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