Individual
MR. JOSEPH GEBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
933 GOODRICH ST, UNIONDALE, NY 11553-2499
(618) 363-2754
Mailing address
93 SKELLY PL, MINEOLA, NY 11501-3729
(618) 363-2754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003216-01
NY
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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