Provider Demographics
NPI:1265488910
Name:DEMAY, DONALD C JR (PT)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:C
Last Name:DEMAY
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 COLUMBUS CIR
Mailing Address - Street 2:C/O EQUINOX @ 60TH ST
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1158
Mailing Address - Country:US
Mailing Address - Phone:212-823-9730
Mailing Address - Fax:212-823-9731
Practice Address - Street 1:10 COLUMBUS CIR
Practice Address - Street 2:C/O EQUINOX @ 60TH ST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1158
Practice Address - Country:US
Practice Address - Phone:212-823-9730
Practice Address - Fax:212-823-9731
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12086225100000X
NJ40QA01453700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQB4261Medicare ID - Type UnspecifiedEMPIRE MEDICARE
NJ255040YJ3MMedicare PIN