Provider Demographics
NPI:1518439835
Name:MCDONALD-GELIN, TENE KAIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TENE
Middle Name:KAIA
Last Name:MCDONALD-GELIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:TENE
Other - Middle Name:KAIA
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1894 WALTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-6018
Mailing Address - Country:US
Mailing Address - Phone:718-583-3060
Mailing Address - Fax:718-583-3360
Practice Address - Street 1:890 TRINITY AVE APT 15D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-7422
Practice Address - Country:US
Practice Address - Phone:917-207-1900
Practice Address - Fax:718-292-4194
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-27
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343896363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily