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NPI Code Detail

MEDICARE: DR. ADERO GAUDIN DNP, FNP-BC, ONC

MEDICARE: DR. ADERO GAUDIN DNP, FNP-BC, ONC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WM0705XMedical-Surgical Registered Nurse664772NY
2163WX0800XOrthopedic Registered Nurse664772NY
3363LF0000XFamily Nurse Practitioner343530NY

General Provider Information

NPI Number : 1295215929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADERO GAUDIN DNP, FNP-BC, ONC
Provider Business Mailing Address
First Line : 815 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5318
Country : US
Telephone Number : 347-556-8843
Fax Number :
Provider Business Practice Location Address
First Line : 815 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5318
Country : US
Telephone Number : 646-614-8200
Fax Number : 646-614-8386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 05/12/2025

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