| Generation Gerannamo | |
|
119 Thomas St Brentwood NY 11717-1218 | |
| (267) 789-5106 | |
| Not Available |
| Full Name | Generation Gerannamo |
|---|---|
| Speciality | Home Health |
| Location | 119 Thomas St, Brentwood, New York |
| Authorized Official Name and Position | Antoinette Jordan (CEO) |
| Authorized Official Contact | 2677895106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generation Gerannamo 119 Thomas St Brentwood NY 11717-1218 Ph: (267) 789-5106 | Generation Gerannamo 119 Thomas St Brentwood NY 11717-1218 Ph: (267) 789-5106 |
| NPI Number | 1124678727 |
|---|---|
| Provider Enumeration Date | 09/16/2019 |
| Last Update Date | 09/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124678727 | NPI | - | NPPES |
| 1659874915 | Medicaid | NY | |
| 1659874915 | Other | FL | CARE MANAGEMENT |
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