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Phillip Samuel Demarco
Student in an Organized Health Care Education/Training Program in Rochester, New York
NPI 1881318830

Phillip Samuel Demarco is a Student in an Organized Health Care Education/Training Program based in Rochester, NY. Phillip Samuel Demarco practices in Rochester, NY. The NPI Number for Phillip Samuel Demarco is 1881318830 and holds a License No. 350566 (New York).

The current practice location address for Phillip Samuel Demarco is 1425 Portland Ave, Rochester, NY and can be reached out via phone at 585-922-4000.

Location: 1425 Portland Ave, Rochester, NY, 14617-5504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881318830
Provider Name
Phillip Samuel Demarco
Credential
Provider Entity Type
Individual
Gender
Male
Address
1425 Portland Ave, Rochester, NY, 14617-5504
Phone Number
585-922-4000
Fax Number
Provider Enumeration Date
10/03/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3011
Phone Number
585-922-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1425 Portland Ave
City
Rochester
State
New York
Zip
14621-3011
Phone Number
585-922-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
350566 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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