Healthcare Provider Details

I. General information

NPI: 1861095846
Provider Name (Legal Business Name): GAIL DEGANNES-HOYTE RN MS DCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CASTLETON AVE FL 2
STATEN ISLAND NY
10310-1805
US

IV. Provider business mailing address

800 CASTLETON AVE FL 2
STATEN ISLAND NY
10310-1805
US

V. Phone/Fax

Practice location:
  • Phone: 718-818-7117
  • Fax: 718-818-3740
Mailing address:
  • Phone: 718-818-7117
  • Fax: 718-818-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number407122
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: