Individual
MR. GERARD JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3870 WHITE PLAINS RD, BRONX, NY 10467-5190
(718) 652-5801
(718) 325-5097
Mailing address
3870 WHITE PLAINS RD, BRONX, NY 10467-5190
(718) 652-5801
(718) 325-5097
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0052611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00899207
—
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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