Provider Demographics
NPI:1790450690
Name:TESTON, GISELLE JOY GERARDO (CNM)
Entity type:Individual
Prefix:
First Name:GISELLE JOY
Middle Name:GERARDO
Last Name:TESTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:349 E 149TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10451-5603
Mailing Address - Country:US
Mailing Address - Phone:212-965-4826
Mailing Address - Fax:
Practice Address - Street 1:44 COURT ST FL 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4418
Practice Address - Country:US
Practice Address - Phone:212-965-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF421737-01363LW0102X
367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health