Individual
PATRICK GERDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D..
Contact information
Practice address
2 BROAD STREET PLZ, GLENS FALLS, NY 12801-4363
(518) 793-0519
Mailing address
1 SUSAN PL, QUEENSBURY, NY 12804-9703
(518) 832-1444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
237519-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
237519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02689141
—
NY
Enumeration date
07/17/2006
Last updated
01/31/2008
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