BRIAN GERLACH

BAY SHORE, NY
NPI1467903567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  23020327)
Enumeration Date2016-10-24
Last Update Date2016-10-24
Business Address
-- BRIAN GERLACH
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
-- BRIAN GERLACH
76 ROXBURY DR
COMMACK, NY 11725-1343
Phone number: 631-960-2516