Provider Demographics
NPI:1609936046
Name:GEARY, MAUREEN C (ANP-BC)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:C
Last Name:GEARY
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:C
Other - Last Name:FENSTERMAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:530 FIRST AVE
Mailing Address - Street 2:NYU LANGONE MEDICAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:646-501-0119
Mailing Address - Fax:646-501-0145
Practice Address - Street 1:530 FIRST AVE
Practice Address - Street 2:NYU LANGONE MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:646-501-0119
Practice Address - Fax:646-501-0145
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304088363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02620579Medicaid
NYQ34736Medicare PIN