Provider Demographics
NPI:1689431405
Name:NPG AESTHETICS INC
Entity Type:Organization
Organization Name:NPG AESTHETICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALYN
Authorized Official - Middle Name:P
Authorized Official - Last Name:HOOPS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:631-339-3978
Mailing Address - Street 1:127 BUFFALO AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-3710
Mailing Address - Country:US
Mailing Address - Phone:631-339-3978
Mailing Address - Fax:631-832-8577
Practice Address - Street 1:127 BUFFALO AVE
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-3710
Practice Address - Country:US
Practice Address - Phone:631-339-3978
Practice Address - Fax:631-832-8577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty