| Ms Geraldine Wilde, CPNP | |
|
877 Stewart Ave, Suite 33, Garden City, NY 11530-4803 | |
| (516) 745-5621 | |
| (516) 227-2544 |
| Full Name | Ms Geraldine Wilde |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 877 Stewart Ave, Garden City, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841338522 | NPI | - | NPPES |
| 02941293 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | F381849-1 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Geraldine Wilde, CPNP 877 Stewart Ave, Suite 33, Garden City, NY 11530-4803 Ph: (516) 745-5621 | Ms Geraldine Wilde, CPNP 877 Stewart Ave, Suite 33, Garden City, NY 11530-4803 Ph: (516) 745-5621 |
Kim Boral, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 975 Stewart Ave, Garden City, NY 11530 Phone: 516-222-8600 | |
Nisha Pradeep, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Old Country Rd Ste 315, Garden City, NY 11530 Phone: 516-424-8387 | |
Natalie Rose Lagares, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Garden City Plz Ste 100, Garden City, NY 11530 Phone: 516-663-6400 | |
Kathleen Mary Lynch, MS APRN BC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Lee Rd, Garden City, NY 11530 Phone: 516-294-3454 | |
Maria C Banvard, DNP, NP, MSN, BSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Franklin Ave Lowr Level, Garden City, NY 11530 Phone: 516-663-2367 | |
Kristin Rochford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Old Country Rd Rm 1w, Garden City, NY 11530 Phone: 180-023-4332 | |
Natasha Pappoe, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Garden City Plz, Garden City, NY 11530 Phone: 508-963-1532 |