Provider Demographics
NPI:1023351640
Name:DEMARCO, AMY LAUREN (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LAUREN
Last Name:DEMARCO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:101 NICHOLLS ROAD HSC, T9
Mailing Address - Street 2:DEPARTMENT OF OB/GYN, STONY BROOK UNIVERSITY MEDICAL CE
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794
Mailing Address - Country:US
Mailing Address - Phone:631-444-4686
Mailing Address - Fax:631-444-4622
Practice Address - Street 1:200 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-2918
Practice Address - Country:US
Practice Address - Phone:631-751-9595
Practice Address - Fax:631-751-2322
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2024-05-03
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Provider Licenses
StateLicense IDTaxonomies
NY288446207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology