Gendler, Jerrold Conrad

Gendler, Jerrold Conrad is an sole proprietor health care provider with primary practice located at 560 Norhern Blvd 190, Great Neck NY 11021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Gendler, Jerrold Conrad can be contacted via phone (646) 705-4505.

Contact Information

Primary practice address
560 Norhern Blvd 190 Great Neck NY 11021
Phone: (646) 705-4505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 237927 New York

Profile Details

NPI number 1144528050
LBN Legal business name Gendler, Jerrold Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2011
Last updated Mar 2nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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