Individual
JERI E GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2391 BELL BLVD, STE 202, BAYSIDE, NY 11360-2019
(718) 589-8324
(718) 378-2880
Mailing address
2 BAY CLUB DR, APT 3E, BAYSIDE, NY 11360-2919
(718) 589-8324
(718) 378-2880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665274
—
NY
Enumeration date
09/07/2005
Last updated
07/11/2016
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