Provider Demographics
NPI:1437915139
Name:GAHOY, FELICIANO (RN)
Entity Type:Individual
Prefix:MR
First Name:FELICIANO
Middle Name:
Last Name:GAHOY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16212 65TH AVE # 2F
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1813
Mailing Address - Country:US
Mailing Address - Phone:718-678-9118
Mailing Address - Fax:
Practice Address - Street 1:16212 65TH AVE # 2F
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-1813
Practice Address - Country:US
Practice Address - Phone:718-678-9118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1855001163WD1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal