Individual
MRS. DIANE D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1408 RICHMOND RD, STATEN ISLAND, NY 10304-2312
(718) 226-2642
(718) 226-2652
Mailing address
236 KING ST, STATEN ISLAND, NY 10312-6206
(718) 948-3487
(718) 226-2652
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002341
NY
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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