Individual
MISS GABRIELLE HERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
160 MIDDLE RD, SAYVILLE, NY 11782-3126
(917) 687-4762
Mailing address
3 POE PL, NORTH BALDWIN, NY 11510-2200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342172
NY
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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