Individual
GERALD JAY SHEPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 BROADWAY RM 1401, NEW YORK, NY 10038-4378
(212) 233-2344
(212) 732-9453
Mailing address
150 BROADWAY RM 1401, NEW YORK, NY 10038-4378
(212) 233-2344
(212) 732-9453
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
171891
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
171891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01367573
—
NY
Enumeration date
08/28/2006
Last updated
11/24/2021
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