Dimarco, David B

Dimarco, David B is an individual health care provider with primary practice located at 69 E Fairmount Ave , Lakewood NY 14750-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Dimarco, David B can be contacted via phone (814) 723-4560.

Contact Information

Primary practice address
69 E Fairmount Ave Lakewood NY 14750-1809
Phone: (814) 723-4560
Fax: (814) 757-5807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD049070L Pennsylvania
Other Service Providers / Specialist 174400000X MD049070L Pennsylvania

Profile Details

NPI number 1396722088
LBN Legal business name Dimarco, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Mar 2nd, 2016 - about 9 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 1396722088 NPPES
Pennsylvania MEDICAID 01447148
Pennsylvania Other 553235

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