MR. GARY PAUL FERTMAN


Address: 154 W 15th St, 4th Floor, New York, NY 10011-6761
Phone: 2126277560

MR. GARY PAUL FERTMAN (NPI# 1043481856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043481856
Entity Type Individual
Full Name MR. GARY PAUL FERTMAN
Credential REGISTERED NURSE
Practice Address 154 W 15th St
4th Floor
New York
NY 10011-6761
Practice Telephone 2126277560
Practice Fax Number 2126277563
Mailing Telephone 2126277560
Mailing Fax Number 2126277563
Enumeration Date 2008-03-19
Last Update Date 2008-03-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
434386 NY Nursing Service Providers

Office Location

Street Address 154 W 15TH ST
4TH FLOOR
City NEW YORK
State NY
Zip Code 10011-6761

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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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1417135914 Helen Debra Borel Registered Nurse 200 W 79th St, Suite 9l, New York, NY 10024-6212 2008-02-06
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Competitor

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City NEW YORK
Zip Code 10011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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