Individual
DR. GERALD DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
861 E 27TH ST, BROOKLYN, NY 11210-2803
(917) 840-8909
Mailing address
1135 HARRIS AVE, FAR ROCKAWAY, NY 11691-4816
(917) 840-8909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003986-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00706854
—
NY
Enumeration date
04/16/2007
Last updated
07/09/2007
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