Wilde, Geraldine
Wilde, Geraldine is an sole proprietor health care provider with primary practice located at 877 Stewart Ave Suite 33, Garden City NY 11530-4803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wilde, Geraldine can be contacted via phone (516) 745-5621.Contact Information
Primary practice address
877 Stewart Ave Suite 33
Garden City NY 11530-4803
Phone: (516) 745-5621
Fax: (516) 227-2544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F381849-1 | New York |
Profile Details
| NPI number | 1841338522 |
|---|---|
| LBN Legal business name | Wilde, Geraldine |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | May 1st, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841338522 | NPPES |
| New York | MEDICAID | 02941293 |
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