Individual
JILL DEMAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
172 E MAIN ST, HUNTINGTON, NY 11743-2948
(631) 385-0022
(631) 385-0896
Mailing address
172 E MAIN ST, HUNTINGTON, NY 11743-2948
(631) 385-0022
(631) 385-0896
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307002
NY
363LG0600X
Gerontology Nurse Practitioner
F307002
NY
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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