Provider Demographics
NPI:1275787624
Name:FIELD, GERALD THOMAS I (FNP)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:THOMAS
Last Name:FIELD
Suffix:I
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:79-01 BROADWAY, ELMHURST HOSPITAL
Mailing Address - Street 2:INFECTRION CONTROL AND TUBERCULOSIS SERVICES
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-334-3078
Mailing Address - Fax:
Practice Address - Street 1:79-01 BROADWAY, ELMHURST HOSPITAL
Practice Address - Street 2:INFECTRION CONTROL AND TUBERCULOSIS SERVICES
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-334-3078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335631-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily