Provider Demographics
NPI:1013043587
Name:SAFFER, GERALD NORMAN (MD)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:NORMAN
Last Name:SAFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 DOSCHER AVE
Mailing Address - Street 2:WEST NYACK MED BLDG SUITE C
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2631
Mailing Address - Country:US
Mailing Address - Phone:845-353-0668
Mailing Address - Fax:
Practice Address - Street 1:14 DOSCHER AVE
Practice Address - Street 2:WEST NYACK MED BLDG SUITE C
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2631
Practice Address - Country:US
Practice Address - Phone:845-353-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122910207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00250308Medicaid
B12877Medicare UPIN
319151Medicare ID - Type Unspecified