Individual
MR. MARC J. DEMARCO
Active
Individual
MR. MARC J. DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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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