MS. GERALDINE DESGRAVIERS R.N.
NPI 1265715924
Registered Nurse - General Practice in Wyandanch, NY
Active since September 20, 2011
About Ms. Geraldine Desgraviers R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. GERALDINE DESGRAVIERS R.N. (NPI 1265715924) is an individual general practice provider in Wyandanch, New York, licensed in New York (624105) and active in the NPI registry since September 2011.
NPPES Registry Identity
NPI1265715924
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMS. GERALDINE DESGRAVIERSCredential: R.N.
Location Address89 S 25TH STWyandanch, NY 11798-2905
Mailing Address88 W Farm DrMelville, NY 11747-4153 · (631) 575-7260
Phone(631) 575-7260
Sole ProprietorYes
Enumeration DateSeptember 20, 2011
✔ NPI 1265715924 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in NY · 624105
89 S 25TH ST, Wyandanch, NY 11798
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265715924, enumerated as an "individual" on September 20, 2011.
The provider is located at 89 S 25TH ST WYANDANCH, NY 11798 and the phone number is (631) 575-7260.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
