MARYLOU D'AMICO NP NPI 1851340400

NPI Information

NPI: 1851340400
Provider Name: MARYLOU D'AMICO, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
739 IRVING AVE
SUITE 300
SYRACUSE, NY
ZIP 13210
Phone: (315) 478-1158
Get Directions

Marylou D'amico, NP is an obstetrics and gynecology nurse practitioner in Syracuse, NY. Marylou D'amico, NP NPI is 1851340400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

739 IRVING AVE
SUITE 300
SYRACUSE, NY
ZIP 13210-651
Phone: (315) 478-1158
Fax: (315) 478-3014

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	F420579	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	109419	OTHER	NEW YORK	PREFERRED CARE
2	P58955	MEDICARE UPIN	NEW YORK
3	P019420579	OTHER	NEW YORK	B/C B/S EXCELLUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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