Individual
DR. EDWARD LEONARD DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1685 NEWBRIDGE RD, NORTH BELLMORE, NY 11710-1603
(516) 826-0103
(516) 783-6657
Mailing address
1685 NEWBRIDGE RD, NORTH BELLMORE, NY 11710-1603
(516) 826-0103
(516) 783-6657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00907960
—
NY
Enumeration date
09/08/2005
Last updated
11/19/2019
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