| M. Jennifer Demarco D.o., Llc | |
|
191 Grand Central Ave Amityville NY 11701-3706 | |
| (631) 598-2318 | |
| Not Available |
| Full Name | M. Jennifer Demarco D.o., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 191 Grand Central Ave, Amityville, New York |
| Authorized Official Name and Position | Mary Jennifer Demarco (DOCTOR) |
| Authorized Official Contact | 6315982318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Jennifer Demarco D.o., Llc 191 Grand Central Ave Amityville NY 11701-3706 Ph: () - | M. Jennifer Demarco D.o., Llc 191 Grand Central Ave Amityville NY 11701-3706 Ph: (631) 598-2318 |
| NPI Number | 1588749535 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 10/01/2007 |
| Medicare PECOS PAC ID | 5799747663 |
|---|---|
| Medicare Enrollment ID | O20041102001008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588749535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 219063 (New York) | Primary |
| Provider Name | M Jennifer Demarco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265611131 PECOS PAC ID: 0941262828 Enrollment ID: I20041110000961 |
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