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1467903567
BRIAN GERLACH
BAY SHORE, NY
NPI
1467903567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 23020327)
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- BRIAN GERLACH
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
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Mailing Address
-- BRIAN GERLACH
76 ROXBURY DR
COMMACK, NY 11725-1343
Phone number: 631-960-2516
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