| Doctor Name: | DR. DANA VALDEMIRA |
| NPI Number: | 1124410436 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD., LMHC |
| License Number: | 006695 |
| Business Practice Address: | 1650 Sycamore Ave Bohemia, NY - 117161738 |
| Business Phone Number: | 6317588290 |
| Business Fax Number: | |
| Mailing Address: | 45 Cleremont Ave, SAINT JAMES |
| State: | NY |
| Postal Code: | 117801708 |
| Phone Number: | 5163803453 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2015 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 006695 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |