Organization
DR RICHARD J D'AMICO DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA L SOULE (OFFICE MANAGER)
(518) 324-3074
Entity
Organization
Contact information
Practice address
74 MARGARET ST, PLATTSBURGH, NY 12901-2925
(518) 324-3074
(518) 324-3077
Mailing address
74 MARGARET ST, PLATTSBURGH, NY 12901
(518) 324-3074
(518) 324-3077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228208
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02498846
—
NY
01
—
1000040970
AFFINITY
—
01
—
113464783DA01
CARE PLUS
—
01
—
1P1236
HEALTHNET
—
01
—
228208
HIP
—
01
—
228208-A39
HEALTHFIRST
—
01
—
22820801
NEIGHBORHOOD
—
01
—
2373424
UNITED HEALTH CARE
—
01
—
6780727
CIGNA
—
01
—
EMPIRE BCBB
0782P1
—
01
—
P3074361
OXFORD
—
01
—
PPO 5996717 HMO 0000
GH1
—
Enumeration date
07/26/2006
Last updated
08/03/2017
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