OrganizationActive
Adult Geriatric Health NP PC
NPI 1962137646 · Adult Health Nurse Practitioner · Staten Island, NY
Provider details
- NPI number
- 1962137646
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Natalia Maximovsky, Owner(347) 377-1979
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11 Ralph Pl Ste 112
Staten Island, NY 10304-4408
Phone: (347) 377-1979
Approximate (ZIP-level) locationGet directions
Mailing address
11 Ralph Pl Ste 112
Staten Island, NY 10304-4408
Registry dates
- Enumerated
- 2022-07-18
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.