LEAH MARY GEOGHEGAN


Address: 347 Fifth Ave, Suite 1402-342, New York, NY 10016-5034
Phone: 6468492782

LEAH MARY GEOGHEGAN (NPI# 1851813117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851813117
Entity Type Individual
Full Name LEAH MARY GEOGHEGAN
Credential MSN HNP AGNP-C
Practice Address 347 Fifth Ave
Suite 1402-342
New York
NY 10016-5034
Practice Telephone 6468492782
Practice Fax Number 6463490133
Mailing Telephone 6468492782
Mailing Fax Number 6463490133
Enumeration Date 2017-07-07
Last Update Date 2020-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WE0003X Registered Nurse
Specialization: Emergency
688126 NY Nursing Service Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
308726 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
433 1st Ave, New York, NY 100104067 9088686679

Office Location

Street Address 347 FIFTH AVE
SUITE 1402-342
City NEW YORK
State NY
Zip Code 10016-5034

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10016

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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