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Organization
M. JENNIFER DEMARCO D.O., LLC
Active
Organization
M. JENNIFER DEMARCO D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JENNIFER DEMARCO D.O. (DOCTOR)
(631) 598-2318
Entity
Organization
Contact information
Practice address
191 GRAND CENTRAL AVE, AMITYVILLE, NY 11701-3706
(631) 598-2318
Mailing address
191 GRAND CENTRAL AVE, AMITYVILLE, NY 11701-3706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219063
NY
Other
Enumeration date
10/26/2006
Last updated
10/01/2007
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