Individual
JOSEPH LOUIS MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 WILLOW AVE STE 203, STATEN ISLAND, NY 10305-1829
(718) 876-3900
Mailing address
27 COALE AVE, STATEN ISLAND, NY 10314-2926
(718) 541-8018
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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