Individual
GEOFREY VERNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 HARDING ST, AMITYVILLE, NY 11701-2308
(631) 565-3382
Mailing address
90 HARDING ST, AMITYVILLE, NY 11701-2308
(631) 565-3382
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
891591
NY
164W00000X
Licensed Practical Nurse
340837-01
NY
Other
Enumeration date
06/07/2021
Last updated
05/03/2024
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