Individual
MR. MARC J. DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1157 FAIRPORT RD., SUITE 201, FAIRPORT, NY 14450-1237
(585) 586-9900
(585) 586-7700
Mailing address
1157 FAIRPORT RD., SUITE 201, FAIRPORT, NY 14450-1237
(585) 586-9900
(585) 586-7700
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C004911-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260033487
TAX I.D.
NY
01
—
8859
EXCELLUS
NY
Enumeration date
06/09/2006
Last updated
03/04/2009
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