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Organization

M. JENNIFER DEMARCO D.O., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JENNIFER DEMARCO D.O. (DOCTOR)
(631) 598-2318
Entity
Organization

Contact information

Practice address
191 GRAND CENTRAL AVE, AMITYVILLE, NY 11701-3706
(631) 598-2318
Mailing address
191 GRAND CENTRAL AVE, AMITYVILLE, NY 11701-3706

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219063
NY

Other

Enumeration date
10/26/2006
Last updated
10/01/2007
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