Gerry, Edward M
Gerry, Edward M is an individual health care provider with primary practice located at 46 E Broadway 6Th Floor, New York NY 10002-6803. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gerry, Edward M can be contacted via phone (212) 343-3564.Contact Information
Primary practice address
46 E Broadway 6Th Floor
New York NY 10002-6803
Phone: (212) 343-3564
Fax: (212) 966-4176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12743 | New York |
Profile Details
| NPI number | 1619162021 |
|---|---|
| LBN Legal business name | Gerry, Edward M |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | Sep 10th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619162021 | NPPES |
| New York | Other | 12743 | CASAC |
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