Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 284288-01 | NY |
NPI | 1184990384 |
---|---|
Provider Name | Dr. Deanna Gerber |
First Address | New City, NY 10956-5350 |
Second Address | New City, NY 10956-5350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 20/08/2019 |