Provider Demographics
NPI:1265673750
Name:DEMAURO, GERARD JOSEPH (MS, PT)
Entity Type:Individual
Prefix:MR
First Name:GERARD
Middle Name:JOSEPH
Last Name:DEMAURO
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Gender:M
Credentials:MS, PT
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Mailing Address - Street 1:145 HENRY ST
Mailing Address - Street 2:APT. 4-B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2526
Mailing Address - Country:US
Mailing Address - Phone:718-855-5517
Mailing Address - Fax:718-855-5517
Practice Address - Street 1:145 HENRY ST
Practice Address - Street 2:APT. 4-B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2526
Practice Address - Country:US
Practice Address - Phone:718-855-5517
Practice Address - Fax:718-855-5517
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
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Provider Licenses
StateLicense IDTaxonomies
NY007422-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics