Individual
MRS. ARLENE BAZATA GERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 THIRD AVE FELICIO ADMINISTRATION BLDG, BRENTWOOD PUBLIC SCHOOLS, BRENTWOOD, NY 11717
(631) 434-2408
Mailing address
52 THIRD AVE FELICIO ADMINISTRATION BLDG, BRENTWOOD PUBLIC SCHOOLS, BRENTWOOD, NY 11717
(631) 434-2408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22 241070
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22 241070
NYS LICENSURE
NY
Enumeration date
01/13/2012
Last updated
01/13/2012
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