Individual
JEFFREY GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M., P.C.
Contact information
Practice address
87 COLD SPRING RD, SYOSSET, NY 11791-3150
(516) 921-5949
Mailing address
8 HERRICK AVE, DIX HILLS, NY 11746-6716
(516) 921-5949
(516) 921-1233
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002849
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00405041
—
NY
01
—
20-0116141
HEALTHNET
NY
01
—
25152
VYTRA
NY
01
—
36583P
HIP
NY
01
—
480021883
RAILROAD MEDICARE
NY
01
—
6299016
GHI
NY
01
—
D02127
OXFORD HEALTH PLANS
NY
01
—
P31881
BLUE CROSS/ BLUE SHIELD
NY
01
—
S540051
SUFFOLK HEALTH
NY
Enumeration date
07/31/2006
Last updated
06/19/2012
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