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General NPI Number Information
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NPI Number | 1275679201
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Entity Type | Individual
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Provider Name | JONATHAN M. GERBER
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Gender | Male
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 610 2ND AVE FL 2
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City | NEW YORK
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State | NY
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Zip | 10016-4859
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Country | US
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Telephone | 646-501-4848
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Fax | 929-455-9087
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Provider Business Mailing Address
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Address Line | 700 HICKSVILLE RD STE 205
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City | BETHPAGE
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State | NY
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Zip | 11714-3472
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Country | US
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Telephone |
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Fax | 212-263-4539
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 329301
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 329301
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License Number State | NY
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