Individual
CELESTINE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CENTER AVE FL 2, BAY SHORE, NY 11706-7336
(516) 225-2788
Mailing address
26 CENTER AVE FL 2, BAY SHORE, NY 11706-7336
(516) 225-2788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
568450
NY
363LF0000X
Family Nurse Practitioner
344102-01
NY
Other
Enumeration date
10/02/2014
Last updated
09/09/2022
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