Individual
MARIANNA GERSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. E.D
Contact information
Practice address
208 E BROADWAY, 104J, NEW YORK, NY 10002-5526
(917) 566-0070
Mailing address
208 E BROADWAY, 104J, NEW YORK, NY 10002-5526
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
463279101
NY
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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