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Theodor Gervais
NPI 1508603457 · on the registry since 2024 · sole proprietor
Practice
- Address
- 303 Main St Apt 134
Hempstead, NY 11550 - Phone
- (347) 863-1298
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York