Dimarco, Judith A

Dimarco, Judith A is an individual health care provider with primary practice located at 42 Montcalm St , Oswego NY 13126-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dimarco, Judith A can be contacted via phone (315) 343-2590.

Contact Information

Primary practice address
42 Montcalm St Oswego NY 13126-1321
Fax: (315) 343-4197
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F332019 New York

Profile Details

NPI number 1629004635
LBN Legal business name Dimarco, Judith A
Credentials RNFNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1629004635 NPPES
New York MEDICAID 01816155
New York Other F332019

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