Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 241604-1 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 241604-1 | NY |
NPI | 1376647891 |
---|---|
Provider Name | Dr. Michael Christopher Gerling |
First Address | Brooklyn, NY 11215 |
Second Address | Brooklyn, NY 11223 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 08/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1528294428 | PECOS (01) | NY |