Individual
THERESA D'AMICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 CENTRAL AVE, ALBANY, NY 12206-2522
(518) 407-0093
Mailing address
314 CENTRAL AVE, ALBANY, NY 12206-2522
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
524843
NY
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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