Individual
ROBERT GERARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
142-02 20TH AVEUNE, ROSEDALE, NY 11735
(917) 563-3350
Mailing address
142-02 20TH AVE, ROSEDALE, NY 11735
(917) 563-3350
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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