Provider Demographics
NPI:1134408693
Name:GERBINO, MARY DELIA (RN MS SNT)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:DELIA
Last Name:GERBINO
Suffix:
Gender:F
Credentials:RN MS SNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 AUTHORS AVE
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:NY
Mailing Address - Zip Code:14467-9366
Mailing Address - Country:US
Mailing Address - Phone:585-359-5504
Mailing Address - Fax:585-359-5513
Practice Address - Street 1:50 AUTHORS AVE
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:NY
Practice Address - Zip Code:14467-9366
Practice Address - Country:US
Practice Address - Phone:585-359-5504
Practice Address - Fax:585-359-5513
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY391117163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool