Provider Demographics
NPI:1902288087
Name:MAGNY, GENEVIEVE CHRISTEL (RN)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:CHRISTEL
Last Name:MAGNY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:CHRISTEL
Other - Last Name:AGENOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:273 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2906
Mailing Address - Country:US
Mailing Address - Phone:631-336-1693
Mailing Address - Fax:
Practice Address - Street 1:3 BLACK PINE CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6202
Practice Address - Country:US
Practice Address - Phone:631-336-1693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY700742163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse