Individual
DR. JASON BENEDICT GERLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5874
(718) 579-4836
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5874
(718) 579-4836
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42349
AL
282N00000X
General Acute Care Hospital
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2013
Last updated
09/13/2022
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