Individual
MR. GERARD JUDE MARCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.A.-C.
Contact information
Practice address
5842 MAIN ST, FLUSHING, NY 11355-5336
(718) 353-3710
Mailing address
5842 MAIN ST, FLUSHING, NY 11355-5336
(718) 353-3710
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002671-1
NY
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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