Individual
DAMIAN A MARRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
860 MONTAUK HWY, #247, WATER MILL, NY 11976-0247
(631) 726-6073
(631) 726-6076
Mailing address
PO BOX 2340, SOUTHAMPTON, NY 11969-2340
(631) 283-2430
(631) 283-7496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
194499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01837145
—
NY
01
—
1377871
UHC
NY
01
—
219464P
HIP
—
01
—
57802
VYTRA
NY
01
—
7227893
CIGNA
—
01
—
7D6021
EMPIRE BCBS
NY
01
—
P4391206
OXF
NY
Enumeration date
09/14/2006
Last updated
10/04/2012
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