Healthcare Provider Details

I. General information

NPI: 1992691588
Provider Name (Legal Business Name): MAY GE
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2025
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5235 BROADWAY
BRONX NY
10463-7636
US

IV. Provider business mailing address

5235 BROADWAY
BRONX NY
10463-7636
US

V. Phone/Fax

Practice location:
  • Phone: 718-638-7682
  • Fax:
Mailing address:
  • Phone: 718-638-7682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number855-406
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: