Provider Demographics
NPI:1750537783
Name:DEMARE, NADEEN L
Entity type:Individual
Prefix:MRS
First Name:NADEEN
Middle Name:L
Last Name:DEMARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7881 KELSEY RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-9492
Mailing Address - Country:US
Mailing Address - Phone:585-343-6996
Mailing Address - Fax:
Practice Address - Street 1:7881 KELSEY RD
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-9492
Practice Address - Country:US
Practice Address - Phone:585-343-6996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor