Individual
MARK GERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 CENTRAL PARK W STE 1I, NEW YORK, NY 10024-6054
(212) 874-4959
Mailing address
211 CENTRAL PARK W STE 1I, NEW YORK, NY 10024-6054
(212) 874-4959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
008182-1
NY
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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