National Provider Identifier
Phillip Samuel Demarco
Phillip Samuel Demarco is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1881318830
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- October 03, 2022
- Last Updated
- March 30, 2024
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4000
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Nurse Practitioner (363LF0000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1881318830
- Entity Type
- Individual
- Last Name
- Demarco
- First Name
- Phillip
- Middle Name
- Samuel
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1203
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- October 03, 2022
- Last Updated
- March 30, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Student in an Organized Health Care Education/Training Program (390200000X)