D'Aversa, Gerard

D'Aversa, Gerard is an individual health care provider with primary practice located at 70 E Sunrise Hwy Ste 400 , Valley Stream NY 11581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. D'Aversa, Gerard can be contacted via phone (516) 374-4199.

Contact Information

Primary practice address
70 E Sunrise Hwy Ste 400 Valley Stream NY 11581
Phone: (516) 374-4199
Fax: (516) 295-5303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 182910 New York

Profile Details

NPI number 1548265523
LBN Legal business name D'Aversa, Gerard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548265523 NPPES
New York MEDICAID 01511480

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