Healthcare Provider Details

I. General information

NPI: 1225439565
Provider Name (Legal Business Name): GINA DEMASI M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2014
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 BRIARWOOD LN
PLAINVIEW NY
11803-6329
US

IV. Provider business mailing address

61 BRIARWOOD LN
PLAINVIEW NY
11803-6329
US

V. Phone/Fax

Practice location:
  • Phone: 516-732-5252
  • Fax:
Mailing address:
  • Phone: 516-732-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: