Individual
DR. JONATHAN C GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12 HAVILAND ROAD, QUEENSBURY, NY 12804-9720
(518) 793-5555
(518) 793-5551
Mailing address
12 HAVILAND ROAD, QUEENSBURY, NY 12804-9720
(518) 793-5555
(518) 793-5551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011021-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C11021-5W
WORKER'S COMP
NY
01
—
C11021-SW
WORKER'S COMP
NY
Enumeration date
02/20/2006
Last updated
05/20/2009
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