Phil Randy D'Amico, LCSW
Social Worker in Staten Island, NY. Individual provider (NPI-1).
NPI number1487802484
StatusActive
Last updated in NPPESAug 8, 2012
Details
- NPI
- 1487802484
- Entity type
- Individual (NPI-1)
- Name
- Mr. Phil Randy D'Amico
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2008
- Last updated
- Aug 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 72076786 | NY | Yes |
Practice location
2483 Arthur Kill RdStaten Island, NY 10309-1207
Phone 347-857-7449
Mailing address
2483 Arthur Kill RdStaten Island, NY 10309-1207
Phone 347-857-7449
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