Individual
CHRISTINE DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
452 SUFFOLK AVE, BRENTWOOD, NY 11717-4207
(631) 436-6065
Mailing address
10 BURGOYNE CT, CORAM, NY 11727-1654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9658
NY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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