Gerold, Thomas F.

Gerold, Thomas F. is an individual health care provider with primary practice located at 4 Phyllis Dr Ste B , Patchogue NY 11772-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gerold, Thomas F. can be contacted via phone (631) 289-4700.

Contact Information

Primary practice address
4 Phyllis Dr Ste B Patchogue NY 11772-2900
Phone: (631) 289-4700
Fax: (631) 289-4718
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD426557 Pennsylvania

Profile Details

NPI number 1134189210
LBN Legal business name Gerold, Thomas F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Aug 23rd, 2011 - about 15 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 1134189210 NPPES
Pennsylvania MEDICAID 1013024930001

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