Healthcare Provider Details

I. General information

NPI: 1831275700
Provider Name (Legal Business Name): MAUREEN GASKINS REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73-12-153 APT 3C
FLUSHING NY
11367-3004
US

IV. Provider business mailing address

73 -12 - 153 ST. APT 3C
FLUSHING NY
11367-3004
US

V. Phone/Fax

Practice location:
  • Phone: 718-261-2363
  • Fax:
Mailing address:
  • Phone: 718-261-2363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number556620
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number556620
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: