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Individual

MS. AMY AGATHA DAMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
115-23 224 STREET, JAMAICA, NY 11411-2220
(718) 723-7516
(718) 723-7516
Mailing address
120-38 231 STREET, JAMAICA, NY 11411-2220
(718) 723-7516
(718) 723-7516

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
296991-1
NY

Other

Enumeration date
12/18/2009
Last updated
01/05/2010
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