Individual
COREEN DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
183 ELM AVE, APT. 2, GLEN COVE, NY 11542-3244
(516) 476-5477
Mailing address
183 ELM AVE, APT. 2, GLEN COVE, NY 11542-3244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
843502
NY
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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