Provider Demographics
NPI:1477025500
Name:HUNTER, GERTLEAN
Entity type:Individual
Prefix:MS
First Name:GERTLEAN
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GERTLEAN
Other - Middle Name:E TOOSON
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN RN
Mailing Address - Street 1:900 DEMOTT AVENUE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1925
Mailing Address - Country:US
Mailing Address - Phone:516-223-0064
Mailing Address - Fax:516-223-0064
Practice Address - Street 1:900 DEMOTT AVENUE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1925
Practice Address - Country:US
Practice Address - Phone:516-223-0064
Practice Address - Fax:516-223-0064
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-31
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-168250163W00000X
NY417812-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse