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Individual

EUGENE N. GERARDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1171 OLD COUNTRY RD, SUITE #5, PLAINVIEW, NY 11803-5022
(516) 938-7676
(516) 938-7718
Mailing address
1171 OLD COUNTRY RD, SUITE #5, PLAINVIEW, NY 11803-5022
(516) 938-7676
(516) 938-7718

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
136160
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2099867
GHI
NY
01
66D483
BC/BS
NY
01
74542
AETNA
NY
01
P3604723
OXFORD
NY
Enumeration date
10/03/2006
Last updated
11/05/2010
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