Individual
GERALDINE ANN GERMANO-YAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
201 EAST GREEN ST, ITHACA, NY 14850
(607) 274-6230
(607) 274-6316
Mailing address
6131 BIG HILL RD, MORAVIA, NY 13118
(607) 274-6230
(607) 274-6316
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
3797211
NY
363L00000X
Nurse Practitioner
Primary
F3311701
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F4010451
NY
Other
Enumeration date
06/09/2006
Last updated
04/05/2011
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