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Marylou D'amico, NP
Obstetrics & Gynecology Nurse Practitioner in Syracuse, New York
NPI 1851340400

Marylou D'amico is a Obstetrics & Gynecology Nurse Practitioner based in Syracuse, NY and is specialized in Obstetrics & Gynecology. Marylou D'amico practices in Syracuse, NY and has the professional credentials of NP. The NPI Number for Marylou D'amico is 1851340400 and holds a License No. F420579 (New York).

The current practice location address for Marylou D'amico is 739 Irving Ave, Syracuse, NY and can be reached out via phone at 315-478-1158 and via fax at 315-478-3014.

Location: 739 Irving Ave, Syracuse, NY, 13210-1651
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Provider Profile Details
NPI Number
1851340400
Provider Name
Marylou D'amico
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
739 Irving Ave, Syracuse, NY, 13210-1651
Phone Number
315-478-1158
Fax Number
315-478-3014
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109419 01 NY PREFERRED CARE
P019420579 01 NY B/C B/S EXCELLUS
institution
Provider Business Practice Location Address Details
Address
739 Irving Ave
City
State
Zip
13210-1651
Phone Number
315-478-1158
Fax Number
315-478-3014
person
Provider Business Mailing Address Details
Address
739 Irving Ave
City
State
Zip
13210-1651
Phone Number
315-478-1158
Fax Number
315-478-3014
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
F420579 (New York)
Definition
Definition to come...
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