Provider Demographics
NPI:1164300745
Name:LATER YEARS GERIATRIC CONSULTING SERVICES
Entity type:Organization
Organization Name:LATER YEARS GERIATRIC CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:
Authorized Official - Last Name:GARGIULLO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-663-0333
Mailing Address - Street 1:1099 OLYMPIA RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1938
Mailing Address - Country:US
Mailing Address - Phone:516-663-0333
Mailing Address - Fax:870-396-5913
Practice Address - Street 1:1099 OLYMPIA RD
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1938
Practice Address - Country:US
Practice Address - Phone:516-663-0333
Practice Address - Fax:870-396-5913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontologyGroup - Single Specialty