SearchNew York1041C0700X

Princessa Gervais-Aine

NPI 1114416559 · on the registry since 2018 · sole proprietor

Practice

Address
21503 Jamaica Ave # 1037
Queens Village, NY 11428
Phone
(347) 635-4622

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
1041S0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York