Individual provider · Type 1 NPI

Michael Gugnishev, NP

Gerontology Nurse Practitioner · Brooklyn, NY

NPI number 1245822204 Active

Practice location

4808 Fort Hamilton Pkwy
Brooklyn, NY 11219

Mailing address

2222 Ocean Ave Apt 4G
Brooklyn, NY 11229-2272

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NJ15120800 (NJ)
Adult Health Nurse Practitioner 363LA2200XF310109-01 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1245822204

Michael Gugnishev, NP's National Provider Identifier is 1245822204, issued on Feb 10, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 20, 2026.