Provider Demographics
NPI:1326593823
Name:GEMC
Entity Type:Organization
Organization Name:GEMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:GINA MAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAYATA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:347-285-7538
Mailing Address - Street 1:5839 206TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-1726
Mailing Address - Country:US
Mailing Address - Phone:347-285-7538
Mailing Address - Fax:
Practice Address - Street 1:5839 206TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-1726
Practice Address - Country:US
Practice Address - Phone:347-285-7538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295457-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care