Provider Demographics
NPI:1770722266
Name:WEGEE, GHARYEA DOGBEH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:GHARYEA
Middle Name:DOGBEH
Last Name:WEGEE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ZABELLA DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-7145
Mailing Address - Country:US
Mailing Address - Phone:845-290-6860
Mailing Address - Fax:
Practice Address - Street 1:6 ZABELLA DR
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-7145
Practice Address - Country:US
Practice Address - Phone:845-290-6860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335565-1363LF0000X
NY431735-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse