Individual
DR. JEFFREY W GEROULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
56 S PORTAGE ST, WESTFIELD, NY 14787-1411
(716) 326-4625
(716) 326-3914
Mailing address
56 S PORTAGE ST, WESTFIELD, NY 14787-1411
(716) 326-4625
(716) 326-3914
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0035971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16 1207645 01
UNIVERA
NY
01
—
911674
EMPIRE
NY
Enumeration date
02/13/2007
Last updated
07/18/2008
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