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General NPI Number Information
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NPI Number | 1871832972
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Entity Type | Individual
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Provider Name | ADRIA M GERBER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 08/25/2019
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Provider Practice Location Address
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Address Line | 340 VETERANS MEMORIAL HWY STE 12
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City | COMMACK
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State | NY
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Zip | 11725-4300
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Country | US
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Telephone | 631-697-3423
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Fax | 631-486-8400
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Provider Business Mailing Address
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Address Line | 101 BUTTONWOOD DRIVE
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City | DIX HILLS
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State | NY
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Zip | 11746
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Country | US
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Telephone | 631-697-3423
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Fax | 631-629-4445
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019962-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 019962-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 019962-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 019962-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019962-01
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License Number State | NY
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