Individual
MADINA R GERASIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, DEPT OF ANESTHESIOLOGY, MANHASSET, NY 11030-3816
(516) 562-4887
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
259818
NY
Other
Enumeration date
06/24/2007
Last updated
06/06/2011
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