Individual
MS. MAE HYACINTH GERENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
353 E 68TH ST, NEW YORK, NY 10065-5606
(646) 422-4387
(212) 988-0759
Mailing address
353 E 68TH ST, NEW YORK, NY 10065-5606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
556279
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
305559
NY
Other
Enumeration date
01/30/2011
Last updated
05/18/2017
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