Healthcare Provider Details

I. General information

NPI: 1083538946
Provider Name (Legal Business Name): GIUSEPPE AMEDEO DEMEO H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E MAIN ST
BAY SHORE NY
11706-8505
US

IV. Provider business mailing address

605 E MAIN ST
BAY SHORE NY
11706-8505
US

V. Phone/Fax

Practice location:
  • Phone: 631-665-0795
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number14000084061
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: