Active NPIIndividual providerSole proprietor

Mrs. Geraldine A Gamboa, LPN

Licensed Practical Nurse in Middletown, New York

NPI Number1720788508
Practice location
13 Bonnie Brae Dr., Middletown, NY 10941-1701
Fax
—
Last updated
March 9, 2023

Geraldine Alejandro Gamboa is a Licensed Practical Nurse based in Middletown, NY. Geraldine Alejandro Gamboa practices in Middletown, NY and has the professional credentials of LPN. The NPI Number for Geraldine Alejandro Gamboa is 1720788508 and holds a License No. 325303-01 (NY). The current practice location address for Geraldine Alejandro Gamboa is 13 Bonnie Brae Dr., Middletown, NY 10941-1701 and can be reached out via phone at 845-381-8311.

Provider Profile Details

NPI Number
1720788508
Provider Name
Geraldine Alejandro Gamboa
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
13 Bonnie Brae Dr., Middletown, NY 10941-1701
Phone Number
845-381-8311
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Other Names
Ms. Geraldine Aldana Alejandro (Former Name)
Provider Enumeration Date
March 9, 2023
Last Update Date
March 9, 2023
Certification Date
March 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Bonnie Brae Dr.
Middletown, NY 10941-1701
Zip
10941-1701
Phone Number
845-381-8311
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
13 Bonnie Brae Dr.
Middletown, NY 10941-1701
City
Middletown
State
NY
Zip
10941-1701
Phone Number
845-381-8311

License Information

License Number
325303-01
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Geraldine A Gamboa, LPN?

The NPI number of Mrs. Geraldine A Gamboa, LPN is 1720788508. It was assigned on March 9, 2023 and is currently active in the NPPES registry.

What is the specialty of Mrs. Geraldine A Gamboa, LPN?

Mrs. Geraldine A Gamboa, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 325303-01.

Where does Mrs. Geraldine A Gamboa, LPN practice?

The practice location is 13 Bonnie Brae Dr., Middletown, NY 10941-1701. The office can be reached at 845-381-8311 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720788508 directly on the NPPES registry website.

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