Catherine Gerard
Individual provider Active NPI Specialist · Yaphank, NY
NPI 1609433309 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1609433309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 665084961 (NY)
- Practice address
- 430 Sills Road
Yaphank, NY 11980 - Phone
- (631) 924-5583
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 665084961 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 665084961 | NY | Yes |
Addresses
Primary practice location
430 Sills Road
Yaphank, NY 11980
Mailing address
1 Patton Rd
Saint James, NY 11780-2927
Phone (631) 838-0930
Other providers in Yaphank, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.