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Individual

DR. GERARD P MICERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD, LP

Contact information

Practice address
448-450 MANVILLE RD, PLEASANTVILLE, NY 10570-2843
(347) 560-4628
Mailing address
141 STOWE DR, POUGHQUAG, NY 12570-4931
(914) 262-3680

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
023648
NY

Other

Enumeration date
01/28/2020
Last updated
01/28/2020
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