Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adult Geriatric Health NP PC

Organization Adult Health Nurse Practitioner · NPI 1962137646

Adult Geriatric Health NP PC is an Adult Health Nurse Practitioner in Staten Island, New York. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11 Ralph Pl Ste 112
Staten Island, NY 10304-4408
Phone: (347) 377-1979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X

Record details

NPI number1962137646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natalia Maximovsky — Owner · (347) 377-1979
NPI enumeratedJuly 18, 2022
Last updated in NPPESJuly 18, 2022
Certification dateJuly 18, 2022
Mailing address11 Ralph Pl Ste 112, Staten Island, NY 10304-4408

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