Healthcare Provider Details

I. General information

NPI: 1740075464
Provider Name (Legal Business Name): ANIKA PEARL WHITTLE-GERBIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2025
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 CLARKSON AVE
BROOKLYN NY
11203-2125
US

IV. Provider business mailing address

111 MALTA ST
BROOKLYN NY
11207-6725
US

V. Phone/Fax

Practice location:
  • Phone: 718-221-7565
  • Fax:
Mailing address:
  • Phone: 347-965-1372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number968297
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: