Brian Gerson, NP | |
375 Commack Rd Unit A, Deer Park, NY 11729-5522 | |
(631) 940-0409 | |
(631) 940-0409 |
Full Name | Brian Gerson |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 375 Commack Rd Unit A, Deer Park, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740552637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F337112-1 (New York) | Primary |
Entity Name | Innovative Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063720910 PECOS PAC ID: 4688863467 Enrollment ID: O20110110000418 |
Mailing Address | Practice Location Address |
---|---|
Brian Gerson, NP 2000 Fisher Ave # 22, Merrick, NY 11566-3407 Ph: (516) 322-4878 | Brian Gerson, NP 375 Commack Rd Unit A, Deer Park, NY 11729-5522 Ph: (631) 940-0409 |
Dina Nicklas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Wright Ave, Deer Park, NY 11729 Phone: 631-241-5928 | |
Georgia Kelly-williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Tiber Ave, Deer Park, NY 11729 Phone: 631-404-8843 | |
Catherine Stinsman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Deer Park Ave, Deer Park, NY 11729 Phone: 631-243-6690 Fax: 631-595-1502 | |
Celeste Johnson, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Sammis Ave, Deer Park, NY 11729 Phone: 917-664-9932 | |
Desiree Inez Dennis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166 | |
Kristy Marie Raio, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1920 Deer Park Ave Ste 104, Deer Park, NY 11729 Phone: 631-392-1680 | |
Jesslynn Mannino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Commack Rd, Deer Park, NY 11729 Phone: 631-940-0409 |