Individual provider · Type 1 NPI
Geraldine Desgraviers, R.N.
General Practice Registered Nurse · Wyandanch, NY
NPI number
1265715924
Active
Practice location
89 S 25th St
Wyandanch, NY 11798-2905
Mailing address
88 W Farm Dr
Melville, NY 11747-4153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 624105 (NY) |
General Practice Registered Nurse: Definition to come...
About NPI 1265715924
Geraldine Desgraviers, R.N.'s National Provider Identifier is 1265715924, issued on Sep 20, 2011. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Wyandanch, NY. The record was last updated on Sep 20, 2011.