Individual
BRUCE EDWARD GERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 FAIRVIEW ST, HUNTINGTON, NY 11743-3552
(631) 427-0530
(631) 427-0147
Mailing address
41 FAIRVIEW ST, HUNTINGTON, NY 11743-3552
(631) 427-0530
(631) 427-0147
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208752
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01861034
—
NY
01
—
1829012
UNITED
—
01
—
2008776
AETNA HMO
—
01
—
208752
HIP
—
01
—
2639504006
CIGNA
—
01
—
2699380
GHI PPO
—
01
—
2C1647
HEALTHNET GUARDIAN
—
01
—
5220605
AETNA PPO
—
01
—
549131
BC
—
01
—
86113P
VYTRA
—
01
—
AA70464
MDNY
—
01
—
P1021651
OXFORD
—
Enumeration date
05/18/2006
Last updated
10/17/2008
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