Individual
GERDE T LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ROOSEVELT AVE, SYOSSET, NY 11791-3064
(888) 577-9144
Mailing address
2 ROOSEVELT AVE, SYOSSET, NY 11791-3064
(888) 577-9144
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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