MEDICARE: GEISY MAURAS FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	352930	NY

General Provider Information

NPI Number	:	1740038033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEISY MAURAS FNP

Provider Business Mailing Address
First Line	:	248 DAVIS AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10465-3113
Country	:	US
Telephone Number	:	917-533-1510
Fax Number	:

Provider Business Practice Location Address
First Line	:	2722 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-8113
Country	:	US
Telephone Number	:	718-583-7736
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2024
Last Update Date	:	05/26/2025

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