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Contact Information

MARY B DAMICO, MS LMHC
5 WEST CAYUGA ST
INTEGRATIVE SERVICES INC.
OSWEGO, NY13126
 Phone: 315-342-9255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for MARY B DAMICO · (Female)

NPI Number 1104013812
Status Active
Credentials MS LMHC
Entity Individual
Enumeration date 09/26/2007
Last updated 07/18/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 000899-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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