Gerberg, Bruce Edward

Gerberg, Bruce Edward is an individual health care provider with primary practice located at 41 Fairview St , Huntington NY 11743-3552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gerberg, Bruce Edward can be contacted via phone (631) 427-0530.

Contact Information

Primary practice address
41 Fairview St Huntington NY 11743-3552
Phone: (631) 427-0530
Fax: (631) 427-0147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 208752 New York

Profile Details

NPI number 1215980487
LBN Legal business name Gerberg, Bruce Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 17th, 2008 - about 18 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 1215980487 NPPES
Other AA70464 MDNY
Other 2C1647 MDNY
Other 2008776 MDNY
Other 5220605 MDNY
Other P1021651 MDNY
MEDICAID 01861034 MDNY
Other 2699380 MDNY
Other 549131 MDNY
Other 2639504006 MDNY
Other 86113P MDNY
Other 1829012 MDNY
Other 208752 MDNY

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