Provider Demographics
NPI:1255503447
Name:KAYE-NAEGELE, GAIL (LPN)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:
Last Name:KAYE-NAEGELE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:ISKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 MELISSA RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401
Mailing Address - Country:US
Mailing Address - Phone:845-336-8482
Mailing Address - Fax:
Practice Address - Street 1:57 HARNATI LANE
Practice Address - Street 2:
Practice Address - City:SHADY
Practice Address - State:NY
Practice Address - Zip Code:12409
Practice Address - Country:US
Practice Address - Phone:845-336-8482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1117911164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse