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NPI Code Detail

MEDICARE: NICHOLAS DEMARCO

MEDICARE:   NICHOLAS  DEMARCO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1205340023
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS DEMARCO
Provider Business Mailing Address
First Line : 2345 ROUTE 52 STE F
Second Line :
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-3218
Country : US
Telephone Number : 845-418-5763
Fax Number :
Provider Business Practice Location Address
First Line : 2345 ROUTE 52 STE F
Second Line :
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-3218
Country : US
Telephone Number : 845-418-5763
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2017
Last Update Date : 09/23/2021

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Directions to “ NICHOLAS DEMARCO ” Practice Location

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