Provider Demographics
NPI:1861229858
Name:GEDEON, EBONE M
Entity type:Individual
Prefix:
First Name:EBONE
Middle Name:M
Last Name:GEDEON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 PENNSYLVANIA AVE APT 5A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239-1903
Mailing Address - Country:US
Mailing Address - Phone:347-986-5090
Mailing Address - Fax:
Practice Address - Street 1:1325 PENNSYLVANIA AVE APT 5A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11239-1903
Practice Address - Country:US
Practice Address - Phone:347-986-5090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula