Individual
BRIAN GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
375 COMMACK RD UNIT A, DEER PARK, NY 11729-5522
(631) 940-0409
(631) 940-0409
Mailing address
2000 FISHER AVE # 22, MERRICK, NY 11566-3407
(516) 322-4878
(707) 880-3209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F337112-1
NY
Other
Enumeration date
02/07/2012
Last updated
08/16/2019
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