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NPI Code Detail

MEDICARE: DR. NORA GERARDI PSYD

MEDICARE: DR. NORA GERARDI PSYD
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
1103TC0700XClinical Psychologist023221NY

General Provider Information

NPI Number : 1710546601
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NORA GERARDI PSYD
Provider Business Mailing Address
First Line : 475 48TH AVE APT 1804
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11109-5518
Country : US
Telephone Number : 203-455-6656
Fax Number :
Provider Business Practice Location Address
First Line : 1 N BROADWAY STE 704
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10601-2320
Country : US
Telephone Number : 914-506-4746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2019
Last Update Date : 11/27/2023

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