Individual provider · Type 1 NPI

Mary B. Geoghegan, NP

Gerontology Nurse Practitioner · New York, NY

NPI number 1518112192 Active

Practice location

1250 Broadway, Vnsny Choice 21st Floor
New York, NY 10001

Fax (212) 714-2982

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X340705 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1518112192

Mary B. Geoghegan, NP's National Provider Identifier is 1518112192, issued on Nov 24, 2008. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on Jul 27, 2012.