Provider Demographics
NPI:1992179998
Name:GAELLE CAYO
Entity Type:Organization
Organization Name:GAELLE CAYO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:GAELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-301-5936
Mailing Address - Street 1:1122 OCEAN AVE
Mailing Address - Street 2:SUITE 4 L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1975
Mailing Address - Country:US
Mailing Address - Phone:347-301-5936
Mailing Address - Fax:
Practice Address - Street 1:1122 OCEAN AVE
Practice Address - Street 2:SUITE 4 L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1975
Practice Address - Country:US
Practice Address - Phone:347-301-5936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-14
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3183451251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health