Healthcare Provider Details

I. General information

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

II. Dates (important events)

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

III. Provider practice location address

418 CURIE BLVD
PHILADELPHIA PA
19104-4217
US

IV. Provider business mailing address

418 CURIE BLVD
PHILADELPHIA PA
19104-4217
US

V. Phone/Fax

Practice location:
  • Phone: 215-898-4271
  • Fax:
Mailing address:
  • Phone: 215-898-4271
  • 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: