Gershbaum, Meyer David
Gershbaum, Meyer David is an sole proprietor health care provider with primary practice located at 5842 Main St , Flushing NY 11355-5336. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gershbaum, Meyer David can be contacted via phone (718) 353-3710.Contact Information
Primary practice address
5842 Main St
Flushing NY 11355-5336
Phone: (718) 353-3710
Fax: (718) 463-0400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 208375 | New York |
Profile Details
| NPI number | 1033108220 |
|---|---|
| LBN Legal business name | Gershbaum, Meyer David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | May 4th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033108220 | NPPES |
| New York | MEDICAID | 02520730 |
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