Provider Demographics
NPI:1073727061
Name:DAMINO, JOYCE H (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:H
Last Name:DAMINO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 BROWER AVENUE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4428
Mailing Address - Country:US
Mailing Address - Phone:516-766-7182
Mailing Address - Fax:
Practice Address - Street 1:4250 EAST HEMPSTEAD TPK
Practice Address - Street 2:SUITE 12LL
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5711
Practice Address - Country:US
Practice Address - Phone:516-579-5945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010956103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6801372OtherGHI VALUE OPTIONS
NYV8C12OtherEMPIRE BCBS MAGELLAN
NYP481569OtherOXFORD
NY6124577OtherUNITED HEALTHCARE
NY010956OtherHIP
NY6801372OtherEMPIRE VALUE OPTIONS
NY0005129494OtherAETNA
NY01776250Medicaid
NY32846OtherVYTRA
NY6801372OtherEMPIRE VALUE OPTIONS