Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Rose Demino

Individual provider Physician Assistant · NPI 1174165633

Emily Rose Demino is a Physician Assistant in New York, New York. Qualified in 2019, 7 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone: (212) 241-1653
Fax: (212) 289-6393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3833 Morton Lane, Seaford, NY 11783 — (516) 474-7045

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174165633
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 16, 2019
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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