Individual
BROOKE DEMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 BEACH 131ST ST, BELLE HARBOR, NY 11694-1630
(646) 784-5968
Mailing address
240 BEACH 131ST ST, BELLE HARBOR, NY 11694-1630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
799179
NY
Other
Enumeration date
04/27/2013
Last updated
01/24/2019
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