D'Amico, Marylou

D'Amico, Marylou is an individual health care provider with primary practice located at 739 Irving Ave Suite 300, Syracuse NY 13210-1651. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. D'Amico, Marylou can be contacted via phone (315) 478-1158.

Contact Information

Primary practice address
739 Irving Ave Suite 300 Syracuse NY 13210-1651
Phone: (315) 478-1158
Fax: (315) 478-3014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F420579 New York

Profile Details

NPI number 1851340400
LBN Legal business name D'Amico, Marylou
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851340400 NPPES
New York Other 109419 PREFERRED CARE
New York Other P019420579 PREFERRED CARE

Popular Providers