De Marco, Anthony Rocco

De Marco, Anthony Rocco is an individual health care provider with primary practice located at 63 Beech Avenue , Farmingville NY 11738-1629. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. De Marco, Anthony Rocco can be contacted via phone (631) 220-0073.

Contact Information

Primary practice address
63 Beech Avenue Farmingville NY 11738-1629
Phone: (631) 220-0073
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 042905 New York

Profile Details

NPI number 1881897056
LBN Legal business name De Marco, Anthony Rocco
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

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 1881897056 NPPES
New York MEDICAID 01653112020

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