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Olivia Renee Demarco

Physician Assistant in Riverhead, NY. Individual provider (NPI-1).

NPI number1962019760
StatusActive
Last updated in NPPESNov 9, 2020

Details

NPI
1962019760
Entity type
Individual (NPI-1)
Name
Olivia Renee Demarco
Sex
Female
Sole proprietor
No
Enumeration date
Sep 25, 2020
Certification date
Nov 9, 2020
Last updated
Nov 9, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant025666NYYes

Practice location

64 Commerce Ave
Riverhead, NY 11901-4455

Phone 631-369-5000

Mailing address

10 Barnsley Cres
Mount Sinai, NY 11766-2800

Phone 631-566-6446

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Riverhead, NY

All 52 Physician Assistant providers in Riverhead · All 1,248 providers in Riverhead

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