Provider Demographics
NPI:1417219791
Name:GAMEY, REBECCA
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:GAMEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 MAPLE AVE
Mailing Address - Street 2:APT. 604
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3171
Mailing Address - Country:US
Mailing Address - Phone:646-371-0082
Mailing Address - Fax:
Practice Address - Street 1:242 MAPLE AVE
Practice Address - Street 2:APT. 604
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3171
Practice Address - Country:US
Practice Address - Phone:646-371-0082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298104164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse