Individual
DR. MARYANN D'AMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
325 MIDDLE COUNTRY RD, SUITE 4, SELDEN, NY 11784-2545
(631) 320-1990
(631) 320-1988
Mailing address
1001 MILDRED DRIVE, BALDWIN, NY 11510-5045
(516) 868-7699
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003628
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008068228
—
NY
Enumeration date
11/29/2006
Last updated
07/31/2013
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