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

Mr. Gaetan Jean Marie, DNP-FNP

Individual provider Family Nurse Practitioner · NPI 1477159515

Mr. Gaetan Jean Marie, DNP-FNP is a Family Nurse Practitioner in Cambria Heights, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

22764 114th Ave
Cambria Heights, NY 11411-1304
Phone: (516) 637-9764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 346718-01 (NY)

Record details

NPI number1477159515
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-FNP
Sole proprietorYes
NPI enumeratedDecember 4, 2020
Last updated in NPPESMay 4, 2022
Certification dateNovember 12, 2021

Other providers in Cambria Heights