Individual provider · Type 1 NPI

Juan Gaetan, CPNP-PC

Pediatric Nurse Practitioner · Jamaica, NY

NPI number 1730165192 Active

Practice location

82-68 164th St., Department Of Emergency Medicine
Jamaica, NY 11432-1121

Fax (718) 883-6115

Mailing address

2094 Pitkin Ave
Brooklyn, NY 11207-3509

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X466314 (NY)
Pediatric Nurse Practitioner Primary 363LP0200XF381315 (NY)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1730165192

Juan Gaetan, CPNP-PC's National Provider Identifier is 1730165192, issued on Dec 19, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jamaica, NY. The record was last updated on May 30, 2024.