Individual
TAYLOR DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4612 MILLENNIUM DR, GENESEO, NY 14454-1197
(585) 443-2018
Mailing address
4612 MILLENNIUM DR, GENESEO, NY 14454-1197
(585) 443-2018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
692070
NY
163W00000X
Registered Nurse
RN682250
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07321337
—
NY
Enumeration date
05/17/2016
Last updated
11/12/2025
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