Gene Streetman, RN
Registered Nurse, Psych/Mental Health in New York, NY. Individual provider (NPI-1).
NPI number1164061750
StatusActive
Last updated in NPPESDec 30, 2019
Details
- NPI
- 1164061750
- Entity type
- Individual (NPI-1)
- Name
- Gene Streetman
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 30, 2019
- Certification date
- Dec 30, 2019
- Last updated
- Dec 30, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 558712 | NY | Yes |
Practice location
600 E 125th StNew York, NY 10035-6000
Phone 646-672-5858
Mailing address
600 E 125th StNew York, NY 10035-6000
Phone 646-672-5858
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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