Individual
ANDREA DAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
247 SWINNERTON ST, STATEN ISLAND, NY 10307-1640
(718) 966-1571
Mailing address
247 SWINNERTON ST, STATEN ISLAND, NY 10307-1640
(718) 966-1571
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
206221
NY
Other
Enumeration date
08/27/2019
Last updated
09/01/2019
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