Individual
MR. JUAN GAETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-PC
Contact information
Practice address
82-68 164TH ST., DEPARTMENT OF EMERGENCY MEDICINE, JAMAICA, NY 11432-1121
(718) 883-3075
(718) 883-6115
Mailing address
2094 PITKIN AVE, BROOKLYN, NY 11207-3509
(718) 240-0400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
466314
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F381315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02267756
—
NY
Enumeration date
12/19/2005
Last updated
05/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us