Individual
GESAEL JEAN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
35 W SMITH ST, AMITYVILLE, NY 11701-1737
(631) 636-2079
Mailing address
35 W SMITH ST, AMITYVILLE, NY 11701-1737
(631) 636-2079
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
857367
NY
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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