Individual ProviderDominick DemarcoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598(631) 751-7988PECOS EnrollmentBased on the most recent information from CMS, provider Dominick Demarco does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1619604055Provider TypeIndividualFull NameDemarco, DominickCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date8/5/2022Last Updated8/5/2022Contact InformationPractice LocationPractice Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598Phone(631) 751-7988FaxUnlisted FaxMailing LocationMailing Address8 Crawford Ct, Huntington Station, NY 11746-1502PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer