Individual
DEBORAH DEMILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
200 RED CREEK DRIVE, SUITE 100, ROCHESTER, NY 14623
(585) 334-0130
(585) 254-0549
Mailing address
601 ELMWOOD AVE, BOX 278980, ROCHESTER, NY 14642-0001
(585) 254-1850
(585) 254-0549
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
005145
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02407192
—
NY
Enumeration date
06/27/2006
Last updated
10/26/2012
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