Basic Information
| Provider Information | |||||||||
| NPI: | 1265488910 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DEMAY | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 COLUMBUS CIR | ||||||||
| Address2: | C/O EQUINOX @ 60TH ST | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100191158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128239730 | ||||||||
| FaxNumber: | 2128239731 | ||||||||
| Practice Location | |||||||||
| Address1: | 10 COLUMBUS CIR | ||||||||
| Address2: | C/O EQUINOX @ 60TH ST | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100191158 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2128239730 | ||||||||
| FaxNumber: | 2128239731 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2006 | ||||||||
| LastUpdateDate: | 10/29/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 12086 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 40QA01453700 | NJ | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.