Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 136160 | NY |
NPI | 1245324565 |
---|---|
Provider Name | Eugene N. Gerardi |
First Address | Plainview, NY 11803-5022 |
Second Address | Plainview, NY 11803-5022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 05/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2099867 | GHI (01) | NY |
66D483 | BC/BS (01) | NY |
74542 | AETNA (01) | NY |
A63685 | (02) | NY |
P3604723 | OXFORD (01) | NY |