Provider Demographics
NPI:1932173382
Name:GERBER, MARCIA G (MD)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:G
Last Name:GERBER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:450 CLARKSON AVE
Mailing Address - Street 2:EMPLOYEE HEALTH SERVICE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2056
Mailing Address - Country:US
Mailing Address - Phone:718-270-2661
Mailing Address - Fax:718-270-2477
Practice Address - Street 1:450 CLARKSON AVE
Practice Address - Street 2:EMPLOYEE HEALTH SERVICE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-270-2661
Practice Address - Fax:718-270-2477
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY101298207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA63060Medicare UPIN