Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 38538 | IA |
NPI | 1093943961 |
---|---|
Provider Name | Dr. Robert Gawley Kerr |
First Address | Manhasset, NY 11030-3816 |
Second Address | Huntington, NY 11743-2816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 18/02/2014 |