Healthcare Provider Details

I. General information

NPI: 1518439835
Provider Name (Legal Business Name): TENE KAIA MCDONALD-GELIN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS TENE KAIA MCDONALD

II. Dates (important events)

Enumeration Date: 12/27/2018
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 TRINITY AVE APT 15D
BRONX NY
10456-7422
US

IV. Provider business mailing address

1894 WALTON AVE
BRONX NY
10453-6018
US

V. Phone/Fax

Practice location:
  • Phone: 917-207-1900
  • Fax: 718-292-4194
Mailing address:
  • Phone: 718-583-3060
  • Fax: 718-583-3360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number343896
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: