Provider Demographics
NPI:1861095846
Name:DEGANNES-HOYTE, GAIL (RN MS DCES)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:DEGANNES-HOYTE
Suffix:
Gender:F
Credentials:RN MS DCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 CASTLETON AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10310-1805
Mailing Address - Country:US
Mailing Address - Phone:718-818-7117
Mailing Address - Fax:718-818-3740
Practice Address - Street 1:800 CASTLETON AVE FL 2
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1805
Practice Address - Country:US
Practice Address - Phone:718-818-7117
Practice Address - Fax:718-818-3740
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY407122163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator