Individual
DENNISSE CARLA GEJON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 SUYDAM ST, RIDGEWOOD, NY 11385-1146
(917) 533-4197
Mailing address
1708 SUYDAM ST, RIDGEWOOD, NY 11385-1146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349546
NY
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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