Marisa Ix-D'amato
NPI #1083185912 in Middletown, New York
Provider Information
- NPI Number
- 1083185912
- Entity Type
- Individual
- Name
- Marisa Ix-D'amato
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 17, 2018
- Last Updated
- Dec 17, 2018
Practice Location
- Address
- 390 CRYSTAL RUN RD STE 107
- City
- Middletown
- State
- New York
- ZIP Code
- 10941-4051
- Phone
- (845) 673-4260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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