Denise M Gaynor, RN
Individual provider Active NPI Registered Nurse · East Moriches, NY
NPI 1467898379 · NPPES record last updated May 18, 2013
Key facts
- NPI
- 1467898379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 669798 (NY)
- Practice address
- 491 Montauk Hwy
East Moriches, NY 11940-1376 - Phone
- (631) 878-6746
- NPI assigned
- May 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669798 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 669798 | NY | Yes |
Addresses
Primary practice location
491 Montauk Hwy
East Moriches, NY 11940-1376
Mailing address
491 Montauk Hwy
East Moriches, NY 11940-1376
Phone (631) 878-6746
Other providers in East Moriches, NY
- Chelsea Ehmann
- Dawn Rose Fallon
- Meghan A Fay
- Peter Michael Fiscina
- Kristen Forte
- Wendy Ann Geehreng
- Steven Joel Goldstein
- Katelyn Gorman
- Charles Carlon Grubb
- Simone Simas Gullette
All providers in East Moriches, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.