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Individual

DR. STEPHEN DEMARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7 SOUTHWOODS BLVD, ALBANY, NY 12211-2526
(518) 445-2505
(518) 445-2508
Mailing address
7 SOUTHWOODS BLVD, ALBANY, NY 12211-2526
(518) 445-2505
(518) 445-2508

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
039251-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02241849
NY
01
10005149
CDPHP
NY
Enumeration date
10/18/2006
Last updated
05/02/2008
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