Doctor Name: | KRISTINA DEMARCO |
NPI Number: | 1407853526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANPC |
License Number: | F301283 |
Business Practice Address: | 235 N Belle Mead Rd E Setauket, NY - 117333456 |
Business Phone Number: | 6317513000 |
Business Fax Number: | 6317513366 |
Mailing Address: | 235 N Belle Mead Rd, E SETAUKET |
State: | NY |
Postal Code: | 117333456 |
Phone Number: | 6317513000 |
Fax Number: | 6317513366 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 12/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F301283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |