Provider Demographics
NPI:1306250220
Name:PRIGGE, GENEVIEVE FRANCES
Entity type:Individual
Prefix:MS
First Name:GENEVIEVE
Middle Name:FRANCES
Last Name:PRIGGE
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 1:139 BAYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PT
Mailing Address - State:NY
Mailing Address - Zip Code:11697-1407
Mailing Address - Country:US
Mailing Address - Phone:917-362-8854
Mailing Address - Fax:
Practice Address - Street 1:2611 MERRICK RD
Practice Address - Street 2:#1169
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-6000
Practice Address - Country:US
Practice Address - Phone:646-327-2723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst