Individual
MISS EDWARD M GERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
46 E BROADWAY, 6TH FLOOR, NEW YORK, NY 10002-6803
(212) 343-3564
(212) 966-4176
Mailing address
46 E BROADWAY, 6TH FLOOR, NEW YORK, NY 10002-6803
(212) 343-3564
(212) 966-4176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12743
CASAC
NY
Enumeration date
09/10/2007
Last updated
09/10/2007
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