Individual
GERARD CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
445 LENOX RD, BOX 1262, BROOKLYN, NY 11203-2017
(718) 245-4790
Mailing address
211 BEACH 130TH ST, BELLE HARBOR, NY 11694-1625
(718) 474-7868
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
175757-1
NY
207P00000X
Emergency Medicine Physician
Primary
175757
NY
207R00000X
Internal Medicine Physician
175757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01374827
—
NY
Enumeration date
08/18/2005
Last updated
07/05/2012
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