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Individual

MRS. JUDITH A DIMARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNFNP

Contact information

Practice address
42 MONTCALM ST, OSWEGO, NY 13126-1321
(315) 343-2590
(315) 343-4197
Mailing address
42 MONTCALM ST, OSWEGO, NY 13126-1321
(315) 343-2590
(315) 343-4197

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F332019
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01816155
NY
01
F332019
LICENSE
NY
Enumeration date
06/23/2006
Last updated
03/07/2023
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