Demarco, Stephen

Demarco, Stephen is an individual health care provider with primary practice located at 7 Southwoods Blvd , Albany NY 12211-2526. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Demarco, Stephen can be contacted via phone (518) 445-2505.

Contact Information

Primary practice address
7 Southwoods Blvd Albany NY 12211-2526
Fax: (518) 445-2508
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 039251-1 New York

Profile Details

NPI number 1578644464
LBN Legal business name Demarco, Stephen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated May 2nd, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578644464 NPPES
New York MEDICAID 02241849
New York Other 10005149

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