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NPI Code Detail

MEDICARE: MR. DOUGLAS K GERBER LCSW

MEDICARE:  MR. DOUGLAS K GERBER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerPR0226431NY

General Provider Information

NPI Number : 1306859251
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DOUGLAS K GERBER LCSW
Provider Business Mailing Address
First Line : 865 WEST END AVE
Second Line : #1C
City : NY
State : NY
Zip : 10025-8402
Country : US
Telephone Number : 212-866-5782
Fax Number : 212-932-0340
Provider Business Practice Location Address
First Line : 865 WEST END AVE
Second Line : #1C
City : NY
State : NY
Zip : 10025-8402
Country : US
Telephone Number : 212-866-5782
Fax Number : 212-932-0340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 07/08/2007

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Directions to “ MR. DOUGLAS K GERBER LCSW” Practice Location

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