Basic Information
| Provider Information | |||||||||
| NPI: | 1477541118 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEMAIO | ||||||||
| FirstName: | LOIS | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | FNP, RNFA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 E MAIN ST | ||||||||
| Address2: | NORTHERN WESTCHESTER HOSPITAL SURGICAL SERVICES | ||||||||
| City: | MOUNT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105493417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146661477 | ||||||||
| FaxNumber: | 9146661965 | ||||||||
| Practice Location | |||||||||
| Address1: | 400 E MAIN ST | ||||||||
| Address2: | NORTHERN WESTCHESTER HOSPITAL , SURGICAL SERVICES DEPA | ||||||||
| City: | MOUNT KISCO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105493417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146661477 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2005 | ||||||||
| LastUpdateDate: | 04/30/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 343024 | NY | N | Nursing Service Providers | Registered Nurse | 163WR0006X | 343024 | NY | Y | Nursing Service Providers | Registered Nurse | Registered Nurse First Assistant | 363LF0000X | F333655 | NY | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 4153130 | 01 | MVP HEALTH PLAN PIN | OTHER | 000000092367 | 01 | NY | GHI HMO | OTHER | HEALTHNET | 01 | NY | 5C5558 | OTHER | 0602250000031 | 01 | NY | FIDELIS CARE OF NY PIN# | OTHER | 7599200 | 01 | NY | GHI PPO | OTHER | P3641736 | 01 | OXFORD HEALTH PLAN PIN | OTHER |