Provider Demographics
NPI:1154954360
Name:DEMERA, GIUSEPPE KEVIN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:GIUSEPPE
Middle Name:KEVIN
Last Name:DEMERA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 RIVERSIDE DR APT 619
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4122
Mailing Address - Country:US
Mailing Address - Phone:347-291-7111
Mailing Address - Fax:
Practice Address - Street 1:310 RIVERSIDE DR APT 619
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4122
Practice Address - Country:US
Practice Address - Phone:347-291-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-16
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045541225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist