Gerald Shephard in Port Jefferson Stati - Clinical
Gerald Shephard - NPI 1205046406
Gerald Shephard is a Clinical in Port Jefferson Stati, New York. Gerald Shephard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gerald Shephard is 1205046406. The last update date is 2007-07-08.
Gerald Shephard's current location address is 164 Howard St, Port Jefferson Stati, New York. You can contact this provider via phone number 6318281230. The mailing address for Gerald Shephard is 164 Howard St, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald Shephard |
|---|---|
| Address | 164 Howard St, Port Jefferson Stati, New York |
| Phone Number | 6318281230 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1205046406 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 164 Howard St |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117762520 |
| Phone Number | 6318281230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L015893 |
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What is the unique 10-digit identification code issued to Gerald Shephard by the Centers for Medicare & Medicaid Services?
The Gerald Shephard has been assigned the NPI (National Provider Identifier) 1205046406 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Gerald Shephard's facilities are situated?
The facilities of Gerald Shephard are physically located at the following address: 164 Howard St, Port Jefferson Stati, NY, 117762520.
What is the area of specialization for Gerald Shephard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gerald Shephard is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Gerald Shephard receive the assignment of its 1205046406 from the Centers for Medicare & Medicaid Services?
The Gerald Shephard was issued its 1205046406 by the Centers for Medicare & Medicaid Services on 2007-05-23.
When was the information regarding Gerald Shephard most recently updated?
The details pertaining to the Gerald Shephard, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY