Gerry, Edward M

Gerry, Edward M is an individual health care provider with primary practice located at 46 E Broadway 6Th Floor, New York NY 10002-6803. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gerry, Edward M can be contacted via phone (212) 343-3564.

Contact Information

Primary practice address
46 E Broadway 6Th Floor New York NY 10002-6803
Fax: (212) 966-4176
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12743 New York

Profile Details

NPI number 1619162021
LBN Legal business name Gerry, Edward M
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Sep 10th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619162021 NPPES
New York Other 12743 CASAC

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