Individual
BETHANY DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
696 DUTCHESS TPKE STE M, POUGHKEEPSIE, NY 12603-6429
(845) 454-0630
Mailing address
243 NORTH RD STE 304, POUGHKEEPSIE, NY 12601-1173
(845) 437-5060
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N007332
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07733448
—
NY
01
—
A400322400
MEDICARE
NM
Enumeration date
06/25/2020
Last updated
01/15/2024
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