Provider Demographics
NPI:1295944916
Name:GERAGHTY, ERIN (RNC, MS, NP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:GERAGHTY
Suffix:
Gender:F
Credentials:RNC, MS, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 1ST AVENUE AVE.
Mailing Address - Street 2:BELLEVUE HOSP AMBICARE BUIDLING 4TH FLOOR 4-140
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-9196
Mailing Address - Country:US
Mailing Address - Phone:212-562-5775
Mailing Address - Fax:
Practice Address - Street 1:462 1ST AVE
Practice Address - Street 2:BELLEVUE HOSP AMIBCARE BUILDING 4TH FLOOR 4-120
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-9196
Practice Address - Country:US
Practice Address - Phone:212-562-5775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261427363LW0102X
NYF420926363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health