Provider Demographics
NPI:1477541118
Name:DEMAIO, LOIS J (FNP, RNFA)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:J
Last Name:DEMAIO
Suffix:
Gender:F
Credentials:FNP, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E MAIN ST
Mailing Address - Street 2:NORTHERN WESTCHESTER HOSPITAL SURGICAL SERVICES
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3417
Mailing Address - Country:US
Mailing Address - Phone:914-666-1477
Mailing Address - Fax:914-666-1965
Practice Address - Street 1:400 E MAIN ST
Practice Address - Street 2:NORTHERN WESTCHESTER HOSPITAL , SURGICAL SERVICES DEPA
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3417
Practice Address - Country:US
Practice Address - Phone:914-666-1477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343024163W00000X, 163WR0006X
NYF333655363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
4153130OtherMVP HEALTH PLAN PIN
NY000000092367OtherGHI HMO
NYHEALTHNETOther5C5558
NY0602250000031OtherFIDELIS CARE OF NY PIN#
NY7599200OtherGHI PPO
P3641736OtherOXFORD HEALTH PLAN PIN
Q34259Medicare UPIN
NYHEALTHNETOther5C5558
NY000000092367OtherGHI HMO
4153130OtherMVP HEALTH PLAN PIN