Seada G. Damiano, D.D.S.
Individual provider Active NPI Dentist · Cicero, NY
NPI 1982942124 · NPPES record last updated Jan 23, 2013
Key facts
- NPI
- 1982942124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 040268 (NY)
- Practice address
- 5972 State Route 31
Cicero, NY 13039-8941 - Phone
- (315) 699-1100
- Fax
- (315) 699-4557
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Care Family Health NP, PLLC | Past |
Accepting new patients | |
| New Country Dental Group | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24958/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 040268 | NY | Yes |
Addresses
Primary practice location
5972 State Route 31
Cicero, NY 13039-8941
Mailing address
5972 State Route 31
Cicero, NY 13039-8941
Phone (315) 699-1100
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.