Individual provider · NPI-1
Frank Degeorge, RN
Registered Nurse, Psych/Mental Health, Adult · Staten Island, NY
NPI number1659089563
StatusActive
Last updated in NPPESNov 9, 2022
Details
- NPI
- 1659089563
- Entity type
- Individual (NPI-1)
- Name
- Frank Degeorge
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2022
- Certification date
- Nov 9, 2022
- Last updated
- Nov 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 859108 | NY | Yes |
Practice location
777 Seaview AveStaten Island, NY 10305-3409
Phone 718-667-2300
Mailing address
777 Seaview AveStaten Island, NY 10305-3409
Phone 718-667-2300
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