GREGORY VERSAILLES NPI 1588110316

NPI Information

NPI: 1588110316
Provider Name: GREGORY VERSAILLES
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
36-36 33RD ST.
LONG ISLAND CITY, NY
ZIP 11106
Phone: (212) 920-2904
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Gregory Versailles is a student in an organized health care education training program in Long Island City, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Gregory Versailles NPI is 1588110316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36-36 33RD ST.
LONG ISLAND CITY, NY
ZIP 11106-329
Phone: (212) 920-2904
Fax: (646) 218-3745

The enumeration date for this NPI number is 8/31/2016 and was last updated on 8/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		844799	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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