Individual
LAURA DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 RASPBERRY CT, MELVILLE, NY 11747-8706
(631) 748-5467
Mailing address
140 RASPBERRY CT, MELVILLE, NY 11747-8706
(631) 748-5467
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
014342
NY
Other
Enumeration date
11/21/2012
Last updated
03/18/2024
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