Healthcare Provider Details

I. General information

NPI: 1982020822
Provider Name (Legal Business Name): JUNI GAIRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2014
Last Update Date: 03/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2054 TILLOTSON AV
BRONX NY
10475
US

IV. Provider business mailing address

43 EDWIN ST APT 1
THORNWOOD NY
10594-1451
US

V. Phone/Fax

Practice location:
  • Phone: 718-671-2100
  • Fax:
Mailing address:
  • Phone: 224-770-0244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number655325
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: