Individual
GISELLIS ORANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
69 W MAIN ST, BAY SHORE, NY 11706-8313
(631) 521-4696
Mailing address
95 W PLUM ST, BRENTWOOD, NY 11717-8126
(631) 521-4696
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310918
NY
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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