Individual
LAURA DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 BETHESDA DR STE 4, HORNELL, NY 14843-1018
(607) 324-9240
(607) 324-9744
Mailing address
2 BETHESDA DR STE 4, HORNELL, NY 14843-1018
(607) 324-9240
(607) 324-9744
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
011497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000511629006
BLUE SHIELD WESTERN NY
NY
05
—
01474753
—
NV
Enumeration date
10/18/2006
Last updated
07/08/2007
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