Provider Demographics
NPI:1932193513
Name:D'AMORE, JOSEPH F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:D'AMORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 NASSAU RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3526
Mailing Address - Country:US
Mailing Address - Phone:631-423-5599
Mailing Address - Fax:631-423-9137
Practice Address - Street 1:68 NASSAU RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3526
Practice Address - Country:US
Practice Address - Phone:631-423-5599
Practice Address - Fax:631-423-9137
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149503174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY95S341OtherBLUE CROSS
NY00825003Medicaid
NY06170GMedicare ID - Type Unspecified
NY95S341OtherBLUE CROSS
NY00825003Medicaid